MRS. CHRISTINE URBAN BRUIN


Address: 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405
Phone: 9102544818

MRS. CHRISTINE URBAN BRUIN (NPI# 1033549910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033549910
Entity Type Individual
Full Name MRS. CHRISTINE URBAN BRUIN
Other Name CHRISTINE HAUSMANN
Credential M.A.
Practice Address 510 Military Cutoff Rd.
Suite 120
Wilmington
NC 28405
Practice Telephone 9102544818
Practice Fax Number 9102544819
Mailing Telephone 9102544818
Mailing Fax Number 9102544819
Enumeration Date 2013-11-14
Last Update Date 2016-12-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist NC Behavioral Health & Social Service Providers

Office Location

Street Address 510 MILITARY CUTOFF RD.
SUITE 120
City WILMINGTON
State NC
Zip Code 28405

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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City WILMINGTON
Zip Code 28405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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