Bruce J Pace, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

00015974 Issued in NY

Practice address

1207 Delaware Ave
Suite 220
Buffalo, NY 14209

Phone

(716) 249-4647

Fax

(716) 463-2223

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Aa Psychology PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1932975919
  NPD (past)
• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1497799290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAFAYETTE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209",
            "telephone_number": "716-249-4647",
            "fax_number": "716-463-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DELAWARE AVE",
            "address_2": "SUITE 220",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209",
            "telephone_number": "716-249-4647",
            "fax_number": "716-463-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "00015974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000527941001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Can Ozturk, MD
• Cemile Nurdan Ozturk, MD
• Jenna Paar
• Amanda Grace Pabst
• Jamie L Pacanowski, PA-C
• Connor Pace, FNP-BC
• Sheila M Pace, CNM, NP
• Sonya Glenn Pace, MS CCC/SLP
• Tara Ann Pace, MS, NCC, LMHC
• Kathleen Alicia Pacella, RPH,PHARMD

• Cognitive & Behavioral Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.