Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICCOLE K BRUSA, PSY.D
Active Sole ProprietorDR. NICCOLE K BRUSA, PSY.D is a Clinical Psychologist healthcare provider located in BLOOMINGDALE, Illinois. NPI 1336507342 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BLOOMINGDALE, IL
Registration Details
- NPI Number
- 1336507342
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2016 (10.506371430598 yrs)
- Last Updated
- Feb 4, 2016
- License
-
071009162 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 FAIRFIELD WAYSUITE 240BLOOMINGDALE, IL, 601081588Browse IL providers · Browse ZIP 60108
- Phone
- 6303092989
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in BLOOMINGDALE, IL
| Name | Credential | NPI |
|---|---|---|
| MARTHA H ANGEL | PSY.D., LCPC | 1760675896 |
| DR. MELISSA ANN CINQUEGRANI-PENCE | PSY.D. | 1629409651 |
| DR. JENNIFER JACKMAN CHARLES | PSY.D. | 1578963013 |
| JAVIER ANTONIO CORTEZ | PSYD | 1720613045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.