Individual provider Active NPI

Kathleen Debra Hogan Bruen, PHD

  • Psychologist
  • Washington, DC
National Provider Identifier
1609050343
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1000265 Issued in DC
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

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.