Organization Active NPI

Lynda S. Bruce

Doing business as Pathways of Discovery

  • Clinical Psychologist
  • Eureka, CA
National Provider Identifier
1417120908
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18948 Issued in CA
Legal business name
LYNDA S. BRUCE
Doing business as
Pathways of Discovery
Practice address
350 E St
Ste. 209
Eureka, CA 95501-0357
Phone
(707) 476-0272
Fax
(707) 442-2820
NPI assigned
Apr 7, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Lynda S. Bruce, PH.D.NPI 1417042995
Title
Psychologist
Phone
(707) 476-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18948 CA Primary

Addresses

Primary practice location

350 E St
Ste. 209
Eureka, CA 95501-0357

Mailing address

1710 Buhne St
Eureka, CA 95501-3102
Phone (707) 476-0272

Other names 1

  • Pathways of Discovery Doing business as

National Provider Directory

National Provider Directory

Locations

350 E St
Ste 209
Eureka, CA 95501
Phone (707) 476-0272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1417120908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013102",
            "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": "350 E ST",
            "address_2": "STE. 209",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010357",
            "telephone_number": "707-476-0272",
            "fax_number": "707-442-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA S. BRUCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "707-476-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways of Discovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 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.

Verify at the official NPI Registry.