Active NPI
Yvonne Elisabeth Bruinsma, PHD, BCBA-D
- Behavior Analyst
- Irvine, CA
National Provider Identifier
1699092585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4278
- Practice address
- 3652 Michelson Dr
Irvine, CA 92612-1727 - Phone
- (949) 533-6818
- Fax
- (949) 726-8324
- NPI assigned
- Apr 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4278 | Primary | |
| Behavior Analyst | 103K00000X | 1-08-4278 | CA |
Addresses
Primary practice location
3652 Michelson Dr
Irvine, CA 92612-1727
Mailing address
10 Bayview
Irvine, CA 92614-7989
Phone (949) 533-6818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Stepps, Inc | Current | Accepting new patients |
Locations
3652 Michelson Dr
Irvine, CA 92612
Phone (949) 474-1943
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1487929808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1699092585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BAYVIEW",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147989",
"telephone_number": "949-533-6818",
"fax_number": "949-726-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3652 MICHELSON DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121727",
"telephone_number": "949-533-6818",
"fax_number": "949-726-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUINSMA",
"first_name": "YVONNE",
"middle_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4278",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-08-4278",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.