Active NPI
Deborah Bruno, LCSW
- Clinical Psychologist
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SW6832
- Practice address
- 2627 NE 203Rd St
Suite 211
Aventura, FL 33180-1900 - Phone
- (305) 905-7177
- NPI assigned
- Sep 23, 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 | SW6832 | FL | Primary |
Addresses
Primary practice location
2627 NE 203Rd St
Suite 211
Aventura, FL 33180-1900
Mailing address
3400 NE 192ND St
PH LP10
Aventura, FL 33180-2462
Phone (305) 905-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z011L | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2627 NE 203Rd St
Suite 214
Aventura, FL 33180-1946
Phone (305) 905-7177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindbuilders Inc. | Clinical | Current | Accepting new patients |
| Boca Raton Psychiatry, LLC | Current | Accepting new patients | |
| Caregivers Solutions, Inc. | Clinical | Past | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822
15300 S Jog Rd
Ste 203
Delray Beach, FL 33446
Phone (561) 638-8385
2627 NE 203rd St
Ste 214
Miami, FL 33180
Phone (305) 542-0300
2627 NE 203rd St
Ste 211
Miami, FL 33180
Phone (305) 905-7177
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Aventura, FL
- NPI 1396981163
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1275056616
-
- Clinical Psychologist
- Aventura, FL
- NPI 1649453002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467552174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NE 192ND ST",
"address_2": "PH LP10",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802462",
"telephone_number": "305-905-7177",
"fax_number": "305-792-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 NE 203RD ST",
"address_2": "SUITE 211",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801900",
"telephone_number": "305-905-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "DEBORAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "SW6832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z011L",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.