Derrielle Bruce

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10 Center St
Chicopee, MA 01013-2680

Phone

(413) 437-9200

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1386214831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010410791",
            "telephone_number": "413-540-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132680",
            "telephone_number": "413-437-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "DERRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Brodeur
• Carolyn E. Brooks, M.D.
• Coloni Brown, BSW
• Lindsey Brown, MSW
• Taylor Noelle Brown, LMT, OTR
• Kelsey Buchanan, LCSW
• Stephen Buckner
• John P Budz, R.PH.
• Sofia Buford, NP-C
• Monique R Burks

• Community Health Worker in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.