Bernard L. Kruse, ED.S., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

32919 W Center St
Wittmann, AZ 85361-9433

Phone

(623) 388-2321

Fax

(623) 388-2915

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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.

• Nadaburg Elementary District

  • Local Education Agency (LEA)
  • Wittmann, AZ
  • NPI 1295886331
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801950381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32919 W CENTER ST",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853619433",
            "telephone_number": "623-388-2321",
            "fax_number": "623-388-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32919 W CENTER ST",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853619433",
            "telephone_number": "623-388-2321",
            "fax_number": "623-388-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "BERNARD",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Marie Gregg, PMHNP
• Healing Tide Medical
• Home Care We Care, LLC
• I.M. Labs LLC
• Ashley Veronique Keyworth, LMT
• Derek Lee, CNMT, PET
• Cassie Lynn Lozanovski, OTR
• Pat Medford, M.A./L.P.C.
• Shari Lynn Molera, RN
• Nadaburg Elementary District

• All providers in Wittmann, AZ
• School Psychologist in Arizona

• 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.