Dalit Bruchstein, LICENSED MFT

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

MFC45793

Practice address

18542 Vanderlip Ave Ste B
Santa Ana, CA 92705-8201

Phone

(714) 642-7057

NPI assigned

Aug 26, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1851904239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 STANLEY AVE APT 12",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553934",
            "telephone_number": "714-642-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18542 VANDERLIP AVE STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058201",
            "telephone_number": "714-642-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18542 VanDerLip Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058201",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCHSTEIN",
        "first_name": "DALIT",
        "credential": "LICENSED MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": "MFC45793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS LICENCE",
            "identifier": "MFC45793",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blidkids.org",
            "affiliation": "N",
            "address_1": "18542 VanDerLip Ave Ste B",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927058201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Brown, CNMT
• Tieta Mariam Brown
• Blair Maurice Browne, PHYSICAL THERAPIST
• Deborah Browning, RN;BSN
• Megan Brubaker
• Elizabeth Bruckner
• Danielle Alexandra Brueningsen, MS, CCC-SLP
• Joseph John Brugman, M.D.
• Richard D. Brumley, M.D.
• Taylor Glen Brummond

• Psychoanalyst in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychoanalyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.