Active NPI
Lynda S Bruce, PHD
- Clinical Psychologist
- Eureka, CA
National Provider Identifier
1417042995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18948
- Practice address
- 1710 Buhne St
Eureka, CA 95501-3102 - Phone
- (707) 444-8805
- Fax
- (707) 442-2820
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18948 | CA | Primary |
Addresses
Primary practice location
1710 Buhne St
Eureka, CA 95501-3102
Mailing address
350 E St
Suite 209
Eureka, CA 95501-0357
Phone (707) 476-0272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18948 | CA | MD | Clinical Psychologist |
| 18948 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynda S. Bruce | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1417042995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E ST",
"address_2": "SUITE 209",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010357",
"telephone_number": "707-476-0272",
"fax_number": "707-442-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 BUHNE ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013102",
"telephone_number": "707-444-8805",
"fax_number": "707-442-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "LYNDA",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.