Jessica L. Cruz, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

1416 E Main Ste F
Puyallup, WA 98372-3170

Phone

(253) 445-8663

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Bienestar Neuropsychological Services

  • Clinical Neuropsychologist
  • Tacoma, WA
  • NPI 1730043449
  NPD Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1922250513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E MAIN STE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723170",
            "telephone_number": "253-445-8663",
            "fax_number": "253-445-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MAIN STE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723170",
            "telephone_number": "253-445-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lloyd Croxford, D.C.
• James E Crozier, MA
• Connie Crum, OT
• Jennifer K Crutcher, RPH
• Caitlin Crutchfield
• CS Pacs 3 Northwest, LLC
• Roselynn Wee Sim Cuenca, M.D., M.P.H.
• Awilda Ines Cuevas Hughes, LICSW
• Marisa Cuffin
• Lisa Culbertson

• Clinical Neuropsychologist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.