Organization Active NPI

Maria Eguia-Brusco, PH.D LTD.

  • Psychologist
  • North Kingstown, RI
National Provider Identifier
1912201682
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS00699 Issued in RI
Legal business name
MARIA EGUIA-BRUSCO, PH.D LTD.
Practice address
1130 Ten Rod Rd.
Suite E101
North Kingstown, RI 02852
Phone
(401) 921-5400
Fax
(401) 921-5402
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Maria Eugenia Eguia-Brusco, PHDNPI 1982797726
Title
President
Phone
(401) 921-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS00699 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd.
Suite E101
North Kingstown, RI 02852

Mailing address

11 Alhambra Circle
Cranston, RI 02905
Phone (401) 921-5400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1912201682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ALHAMBRA CIRCLE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02905",
            "telephone_number": "401-921-5400",
            "fax_number": "401-921-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD.",
            "address_2": "SUITE E101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-921-5400",
            "fax_number": "401-921-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA EGUIA-BRUSCO, PH.D LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "EGUIA-BRUSCO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-921-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.