Organization Active NPI

Brucker & Associates, PC

  • Marriage & Family Therapist
  • Naperville, IL
National Provider Identifier
1669616009
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000599 Issued in IL
Legal business name
BRUCKER & ASSOCIATES, PC
Practice address
24024 Brancaster Dr
Naperville, IL 60564-8044
Phone
(630) 809-2180
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Dr. Penny S Brucker, PH.D.NPI 1154472728
Title
President
Phone
(630) 809-2180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 166000599 IL Primary

Addresses

Primary practice location

24024 Brancaster Dr
Naperville, IL 60564-8044

Mailing address

5428 Silk Oak Dr
Naperville, IL 60564-5008
Phone (630) 809-2180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1669616009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 SILK OAK DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645008",
            "telephone_number": "630-809-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24024 BRANCASTER DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648044",
            "telephone_number": "630-809-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCKER & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "BRUCKER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-809-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.