Active NPI
Noel Bruno, PH.D.
- Clinical Child & Adolescent Psychologist
- Philadelphia, PA
National Provider Identifier
1558331785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS015472
- Practice address
- 850 N 11TH St
Philadelphia, PA 19123-1957 - Phone
- (215) 769-1100
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 Child & Adolescent Psychologist | 103TC2200X | PS015472 | PA | Primary |
Addresses
Primary practice location
850 N 11TH St
Philadelphia, PA 19123-1957
Mailing address
4700 Wissahickon Ave
Suite 118 Box 110
Philadelphia, PA 19144-4248
Phone (215) 298-0417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015472 | PA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558331785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"address_2": "SUITE 118 BOX 110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "215-298-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231957",
"telephone_number": "215-769-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "NOEL",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS015472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.