Katherine Vivian Bruss, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001333 Issued in GA

Practice address

1244 Clairmont Rd Ste 101
Decatur, GA 30030-1250

Phone

(404) 325-0526

Fax

(404) 325-0526

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699844977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BEACON HILL BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292520",
            "telephone_number": "404-325-0526",
            "fax_number": "404-325-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250",
            "telephone_number": "404-325-0526",
            "fax_number": "404-325-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSS",
        "first_name": "KATHERINE",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Bruehl
• Martha Tallman Brumby, MSN,APRN-BC
• Fnu Brunhilda, NP
• Dionne Brunson, O.T.
• Christine Alberi Bruso, LMSW
• Anne-Marie Bruton, LPC
• Annie Bryan
• Katherine Butler Bryan, NP
• Avril L Bryant, PT
• Courtnee Bryant, COO

• Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.