Individual provider Active NPI

Bruce Santner, PH.D.

  • Clinical Psychologist
  • Katonah, NY
National Provider Identifier
1659429108
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009245 Issued in NY
Practice address
65 Valley Rd
Katonah, NY 10536-1724
Phone
(914) 232-1237
Fax
(914) 232-1257
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009245 NY Primary

Addresses

Primary practice location

65 Valley Rd
Katonah, NY 10536-1724

Mailing address

65 Valley Rd
Katonah, NY 10536-1724
Phone (914) 232-1237

Other identifiers 1

IdentifierTypeStateIssuer
110485OtherNYHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000188 NY Practitioner - Clinical Psychologist 9931374337 Practice locations: Katonah, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Fordham University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

223 Katonah Ave
Katonah, NY 10536-2146
Phone (914) 232-1237

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1659429108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VALLEY RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361724",
            "telephone_number": "914-232-1237",
            "fax_number": "914-232-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 VALLEY RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361724",
            "telephone_number": "914-232-1237",
            "fax_number": "914-232-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTNER",
        "first_name": "BRUCE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "110485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.