Bruce Gottlieb LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRUCE GOTTLIEB LLC

Practice address

2346 Kaibab Cir
St George, UT 84790-8060

Phone

(303) 440-7792

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Gottlieb, MSW; L.C.S.W.

Title

Psychotherapist

Phone

(303) 440-7792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1538614219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 KAIBAB CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908060",
            "telephone_number": "303-440-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 KAIBAB CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908060",
            "telephone_number": "303-440-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE GOTTLIEB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-440-7792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW; L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarrean Cobree Brown
• Toni Brown, DNP
• Vania Brown
• Wayne Frederick Brown II, MD
• Elayna Browning
• Dustin Bruni
• Jessica Ree Bryan, LCSW
• Jill Bryan, RD
• Lori Bryan
• Timothy Bryan

• Community/Behavioral Health Agency in St George, UT
• Providers in St George, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.