Active NPI
Kathleen Debra Hogan Bruen, PHD
- Psychologist
- Washington, DC
National Provider Identifier
1609050343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1000265
- Practice address
- 5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015 - Phone
- (202) 363-1010
- Fax
- (202) 363-2383
- NPI assigned
- Dec 18, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1000265 | DC | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015
Mailing address
5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015
Phone (202) 363-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ross Center for Anxiety & Related Disorders, LLC | Past | Accepting new patients | |
| The Ross Center for Anxiety & Related Disorders Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Washington, DC
- NPI 1417127663
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1578998563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1609050343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 400 THE ROSS CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20015",
"telephone_number": "202-363-1010",
"fax_number": "202-363-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 400 THE ROSS CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20015",
"telephone_number": "202-363-1010",
"fax_number": "202-363-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN BRUEN",
"first_name": "KATHLEEN",
"middle_name": "DEBRA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1000265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.