Marc Bruderer, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

138553 Issued in CA

Practice address

6 Venture Ste 340
Irvine, CA 92618-3340

Phone

(949) 750-4777

NPI assigned

May 18, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Tamara Hyland Licensed Marriage and Family Therapist, a Professional Corporation

  dba Hyland & Associates Counseling Services

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1932903978
  NPD

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1710736913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VENTURE STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-750-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VENTURE STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-750-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDERER",
        "first_name": "MARC",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Brown
• Andrew Wellesley Browne, M.D., PH.D.
• Christine M Browning, PH.D.
• Bruce B Cleeremans MD a Prof Corp (Nerve Pro Medical Corp)
• Chris Charles Bruckner, L.AC
• Mary Kate Bruellet, BCBA
• Yvonne Elisabeth Bruinsma, PHD, BCBA-D
• Jon Patrick Brunelle, D.C.
• Laurie Brunette, M.D.
• Jennifer Bruning

• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.