Kaylee Ann Bruijn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3545 Issued in TN

Practice address

7516 Enterprise Ave
Germantown, TN 38138-3802

Phone

(901) 755-5802

Fax

(901) 757-2249

NPI assigned

Feb 1, 2018

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brian Dale Brown Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Germantown Psychological Associates PC

  • Psychologist
  • Germantown, TN
  • NPI 1497718639
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1346748662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 ENTERPRISE AVE STE 1",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383802",
            "telephone_number": "901-755-5802",
            "fax_number": "901-757-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 ENTERPRISE AVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383802",
            "telephone_number": "901-755-5802",
            "fax_number": "901-757-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUIJN",
        "first_name": "KAYLEE",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "BROWN",
            "middle_name": "DALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Brown
• Wendy K Brown, LCSW
• Amie Marie Browning, PT
• Bailey Bruce, NP
• Lauren Specht Bruff, APN
• Christopher M Bruno, M.D.
• Anne Bryan, LCSW
• Morgan Mills Bryant, PT, DPT
• William Wesson Bucy, M.D.
• David E Buechner, MD

• Psychologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.