MR. ERIC C BRUCKNER (NPI# 1063531358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063531358 |
| Entity Type | Individual |
| Full Name | MR. ERIC C BRUCKNER |
| Credential | MFTI |
| Practice Address |
335 E Lake Ave Watsonville CA 95076-4826 |
| Practice Telephone | 8317286445 |
| Practice Fax Number | 8317616011 |
| Mailing Telephone | 8317286445 |
| Mailing Fax Number | 8317616011 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF 81496 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD BEHAVIORAL SCIENCES | IMF 81496 | 01 |
| Street Address |
335 E LAKE AVE |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906549 | Eric Ochoa | Marriage & Family Therapist | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2020-09-10 |
| 1447895040 | Veronica Garcia | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-11-07 |
| 1982252979 | Hannah Pettee | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-09-03 |
| 1871051391 | Stephanie Escamilla | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-03-04 |
| 1801354378 | Sandra Magdaleno | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-03-04 |
| 1558825406 | Jodi Annette Capitola-duran | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-01-24 |
| 1437627395 | Michelle Dennyse Pate | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2018-11-08 |
| 1902373491 | Monica Miramontes | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2018-11-01 |
| 1467936096 | Karina Alvarez | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2018-09-19 |
| 1245745397 | Bonnie Claire Given | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627833 | Guadalupe Ochoa | Counselor | 539 Bridge St, Watsonville, CA 95076-3648 | 2015-05-04 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| 1942605167 | Margarita Caracheo | Counselor | 1360 Whiskey Hill Road, Watsonville, CA 95076 | 2014-10-30 |
| 1033513346 | Lizette Ramos | Counselor | 70 Loughead St, Watsonville, CA 95076-5014 | 2014-10-15 |
| 1194155580 | Reina Valencia | Counselor | 227 Palm Ave, Watsonville, CA 95076-3967 | 2013-11-20 |
| 1811236599 | Luis Jimenez | Counselor | 1355 Madison St Apt 107, Watsonville, CA 95076-2745 | 2013-01-31 |
| 1174818108 | Cesar Hernandez | Counselor | 360 Whiskeyhill Road, Watsonville, CA 95076 | 2011-06-17 |
| 1306003611 | Shirley Ann Millico | Counselor | 360 Crossroads Rd., Watsonville, CA 95076 | 2008-05-22 |
| 1124208251 | Esmeralda Aguilera | Counselor | 12 West Beach Street, Watsonville, CA 95076 | 2007-11-06 |
| 1083830392 | Stephanie M Plane | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2007-04-17 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on MR. ERIC C BRUCKNER.
| 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.