Daniel Bruining, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS 006496L Issued in PA

Practice address

500 School St
Clarks Summit, PA 18411-1508

Phone

(570) 586-3587

Fax

(570) 586-3587

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Salazar Associates

  • Clinical Social Worker
  • Clarks Summit, PA
  • NPI 1710155643
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1487830402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SCHOOL ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111508",
            "telephone_number": "570-586-3587",
            "fax_number": "570-586-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SCHOOL ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111508",
            "telephone_number": "570-586-3587",
            "fax_number": "570-586-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUINING",
        "first_name": "DANIEL",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS 006496L",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301011261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley W Boland, MD
• Christine Julie Bonczek, LPC, MS
• Alexa Krislyn Bonk, MS
• Mari S. Bowen, MS CCC SPL
• Pamela Brace Giannetti, CRNP
• Brutico Foot and Ankle Surgery, LLC
• Ariana Brutico, MS PT
• Sokieu Mach Brutico, DPM
• Jill A Burke, M.A., LPC, CFT, CACD
• Maureen Burke, ATC

• Clinical Neuropsychologist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.

Verify at the official NPI Registry.