MS. STEPHANI LOUISE BRUYER (NPI# 1790975928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790975928 |
| Entity Type | Individual |
| Full Name | MS. STEPHANI LOUISE BRUYER |
| Credential | M.A. |
| Practice Address |
1603 W Old Shakopee Rd Bloomington MN 55431-3065 |
| Mailing Address |
18986 Lake Dr E Chanhassen MN 55317-9348 |
| Practice Telephone | 9527673680 |
| Practice Fax Number | 9527670018 |
| Mailing Telephone | 9524745974 |
| Mailing Fax Number | 9524743654 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3669 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1603 W OLD SHAKOPEE RD |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679684203 | Colleen S Odonnell | Nurse Practitioner | 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 | 2006-08-31 |
| 1003172594 | Mount Olivet Rolling Acres, Inc | Clinical Nurse Specialist | 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 | 2012-04-09 |
| 1225120991 | Carol Peitzman | Nurse Practitioner | 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| 1427455179 | Lori K Campbell | Psychologist | 3925 E Hagan St, Ste 102, Bloomington, IN 47401-8649 | 2014-11-24 |
| 1013233584 | Michele Koselke | Psychologist | 205 N College Ave Ste 312, Bloomington, IN 47404-3953 | 2010-04-08 |
| 1114167194 | Robert C Kissel | Psychologist | 6063 Nehrt Rd, Bloomington, IN 47408-9107 | 2009-03-03 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1669656724 | Gay Robb Hallberg | Psychologist | 11060 Oregon Curv, Bloomington, MN 55438-2806 | 2007-12-26 |
| 1326250184 | Jennifer Elizabeth Bradley | Psychologist | 205 N College Ave Ste 514, Bloomington, IN 47404-3952 | 2007-05-04 |
| 1376685693 | Deborah A. Zera | Psychologist | 525 S Walker St, Suite 104, Bloomington, IN 47403-2152 | 2007-02-13 |
| 1700924800 | Susan J Rautio-dietz | Psychologist | 532 N Walnut St, Suite D, Bloomington, IN 47404-3809 | 2007-02-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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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.