Active NPI
Stacy Ann Elizabeth Bruce
- Psychiatric/Mental Health Nurse Practitioner
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1178155
- Practice address
- 25319 Interstate 45 Ste 100
Spring, TX 77380-3551 - Phone
- (832) 810-0200
- NPI assigned
- Jan 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP70127287 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1178155 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406576 | NY |
Addresses
Primary practice location
25319 Interstate 45 Ste 100
Spring, TX 77380-3551
Mailing address
25319 Interstate 45 Ste 100
Spring, TX 77380-3551
Phone (832) 810-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas a & M University System, HSC, College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6315 Gulfton St
Suite 100
Houston, TX 77081-1107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 406576 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1178155 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mava Healthcare System LLC | Current | Accepting new patients | |
| Kinghaven Counseling Group Inc | Current | Accepting new patients | |
| Neuron Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
18723 Mueschke Rd
Ste B
Cypress, TX 77433
Phone (346) 575-1108
6100 Hillcroft Ave
Ste 642
Houston, TX 77081
6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357
3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682
25319 Interstate 45
Ste 100
Spring, TX 77380
Phone (832) 810-0200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Houston, TX
- NPI 1396807350
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spring, TX
- NPI 1942854583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1881406635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25319 INTERSTATE 45 STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773803551",
"telephone_number": "832-810-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25319 INTERSTATE 45 STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773803551",
"telephone_number": "832-810-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "STACY ANN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP70127287",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1178155",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.