Active NPI
Bruce Allen, PH.D.
- Psychologist
- Bullhead City, AZ
National Provider Identifier
1346258456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3777
- Practice address
- 2681 Highway 95
Suite 100
Bullhead City, AZ 86442-8490 - Phone
- (928) 763-9999
- Fax
- (928) 763-9931
- NPI assigned
- Aug 4, 2006
- Last updated
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3777 | AZ | Primary |
Addresses
Primary practice location
2681 Highway 95
Suite 100
Bullhead City, AZ 86442-8490
Mailing address
2865 Shimmering Bay St
Laughlin, NV 89029-1252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2681 Hway
95 Suite 100
Bullhead City, AZ 86442-8491
Phone (928) 763-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euthymia, Inc. | Current | Accepting new patients | |
| Associated Bilingual Counselors, Inc. | Past | Accepting new patients |
Locations
2681 Highway 95
Ste 100
Bullhead City, AZ 86442
Phone (928) 763-9999
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bullhead City, AZ
- NPI 1750695870
-
dba ABC Therapy, Inc
- Professional Counselor
- Bullhead City, AZ
- NPI 1164603239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1346258456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 SHIMMERING BAY ST",
"city": "LAUGHLIN",
"state": "NV",
"postal_code": "890291252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 HIGHWAY 95",
"address_2": "SUITE 100",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428490",
"telephone_number": "928-763-9999",
"fax_number": "928-763-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
- Ricardo C Alfafara, M.D.
- Mohammed Adem Aliyu, RPH
- All Wellness Medical Center LLC
- All Women's Regional Medical Center, PC
- All Womens Regional Medical Center, P.C.
- Nathan Bryan Allen, PHARM D
- Alliance Healthcare Services, Inc.
- Rhonda Alsobrook, PSYD, LASAC
- Jose Hiram Alvarez, M.D.
- Bhakthi Amarasinghe, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.