Individual provider Active NPI

Andrea Bruce, PHD

  • Clinical Psychologist
  • Fair Oaks, CA
National Provider Identifier
1902080385
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33612 Issued in CA
Practice address
9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032
Phone
(916) 919-0693
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY33612 CA
Clinical Psychologist 103TC0700X PSY33612 CA Primary

Addresses

Primary practice location

9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032

Mailing address

9712 Fair Oaks Blvd Ste C3
Fair Oaks, CA 95628-7032
Phone (916) 919-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY33612CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapeutic Collective, a Professional Psychological Corporation Clinical CurrentSince Jul 22, 2025 Accepting new patients
Caminar Past Accepting new patients

Locations

9712 Fair Oaks Blvd
Ste C3
Fair Oaks, CA 95628
Phone (916) 919-0693

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1902080385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-919-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 FAIR OAKS BLVD STE C3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287032",
            "telephone_number": "916-919-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ANDREA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.