DR. AUDREY BRUTUS (NPI# 1679877112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679877112 |
| Entity Type | Individual |
| Full Name | DR. AUDREY BRUTUS |
| Credential | PSY.D. |
| Practice Address |
259 N Middletown Rd Fl 2 Nanuet NY 10954-1220 |
| Mailing Address |
130 Branchwood Ln Nanuet NY 10954-1048 |
| Practice Telephone | 2126840099 |
| Practice Fax Number | 8666967991 |
| Mailing Telephone | 3475287671 |
| Mailing Fax Number | 8455170737 |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
018897 | NY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
018897 | NY | Behavioral Health & Social Service Providers |
| Street Address |
259 N MIDDLETOWN RD FL 2 |
| City | NANUET |
| State | NY |
| Zip Code | 10954-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922063098 | Foluke Onaolapo Salu | Internal Medicine | 259 N Middletown Rd, Suite 1b, Nanuet, NY 10954-1220 | 2006-04-19 |
| 1992211122 | Sheriffa Gallwey, Lcsw, Pllc | Social Worker | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2017-12-26 |
| 1558755991 | Zev Mark Cohen, Md PC | Internal Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2015-03-24 |
| 1316290265 | Mary Elizabeth White | Registered Nurse | 259 N Middletown Rd, Suite D, Nanuet, NY 10954-1220 | 2012-10-16 |
| 1851531792 | All Medical Healthcare From Hospital To Staffing Agency | Durable Medical Equipment & Medical Supplies | 259 N Middletown Rd, Suite 1 Lower Level, Nanuet, NY 10954-1220 | 2009-03-05 |
| 1154583011 | Paul Robert Ostroy | Family Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2008-07-01 |
| 1356516900 | Rockland Infectious Disease Medical Practice P. C | Internal Medicine | 259 N Middletown Rd, Suite1 B, Nanuet, NY 10954-1220 | 2008-04-24 |
| 1487825352 | Steve Z Douer | Family Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2008-03-18 |
| 1639397292 | Luzette Jean-marie Badou | Respiratory Therapist, Certified | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2007-04-20 |
| 1053445916 | Dale M Reiger-butler | Nurse Practitioner | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042497 | Kh Acupuncture, PC | Acupuncturist | 25 Smith St. Ste 203, Nanuet, NY 10954 | 2020-01-24 |
| 1760953681 | Nisha Zachariah | Nurse Practitioner | 17 Terrace Ave, Nanuet, NY 10954 | 2018-12-17 |
| 1861963068 | Nicole Letizia | Lactation Consultant, Non-RN | 6 Klint Court, Nanuet, NY 10954 | 2018-12-16 |
| 1023502457 | Jessica Basir | Behavioral Analyst | 8 James Court, Nanuet, NY 10954 | 2018-06-19 |
| 1093232811 | Custom Orthopedic Supply LLC | Durable Medical Equipment & Medical Supplies | 100 Lawrence Street, Suite 201, Nanuet, NY 10954 | 2017-08-23 |
| 1164960290 | Saintulia Vicsama | Licensed Practical Nurse | 43 Ewing Ave, Nanuet, NY 10954 | 2017-02-09 |
| 1043755549 | Karen M Hawkins | Registered Nurse | 34 West Nyack Road, St. Anthony's School, Nanuet, NY 10954 | 2016-12-20 |
| 1215488580 | Berdina Boirond | Licensed Practical Nurse | 8 Clark Drive, Nanuet, NY 10954 | 2016-10-20 |
| 1861851032 | Donna Harris | Specialist | 11 Lancaster Ct, Nanuet, NY 10954 | 2016-02-17 |
| 1023484698 | Julie Gonzalez | Registered Nurse | 20 Old Turnpike Road, Suite 307, Nanuet, NY 10954 | 2015-08-18 |
| Find all providers in zip 10954 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891218855 | Kaitlyn Morr | Psychologist | 6 Hillaire Pl, Nanuet, NY 10954-3705 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
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| 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.