Individual provider Active NPI

Julie Dara Bruno, PSY.D

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1659549954
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7670 Issued in FL
Practice address
2421 Hollywood Blvd Ste 2
Hollywood, FL 33020-6605
Phone
(954) 881-1129
Fax
(954) 923-9190
NPI assigned
Feb 20, 2008
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7670 FL Primary
Clinical Psychologist 103TC0700X PY7670 FL

Addresses

Primary practice location

2421 Hollywood Blvd Ste 2
Hollywood, FL 33020-6605

Mailing address

20775 NE 32ND PL
Aventura, FL 33180-3652
Phone (954) 881-1129

Other identifiers 1

IdentifierTypeStateIssuer
006521900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090304000781 FL Practitioner - Clinical Psychologist 3072601947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Infinite Behavioral Health, IncGroup PAC ID 9638340037, 2 clinicians

Practice addresses (Care Compare)

2421 Hollywood Blvd
Suite 1And2
Hollywood, FL 33020-6605
Phone (954) 881-1129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7670FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Behavioral Health, Inc Clinical CurrentSince Sep 25, 2011 Accepting new patients
Julie D Bruno PA Clinical CurrentSince Feb 11, 2008 Accepting new patients
Abcs for Success, LLC Past Accepting new patients
Natalie Alazrachi, PA PastSince Jul 12, 2020 Accepting new patients
East Coast Toxicology Laboratories, Inc. PastSince May 12, 2010 Accepting new patients

Locations

2421 Hollywood Blvd
Ste 1AND2
Hollywood, FL 33020
Phone (954) 881-1129

2421 Hollywood Blvd
Ste 2
Hollywood, FL 33020
Phone (954) 881-1129

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1659549954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20775 NE 32ND PL",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803652",
            "telephone_number": "954-881-1129",
            "fax_number": "954-923-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 HOLLYWOOD BLVD STE 2",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "954-881-1129",
            "fax_number": "954-923-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JULIE",
        "middle_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7670",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006521900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.