Active NPIIndividual providerSole proprietor

Dr. John R Brundage, PHD

Psychologist, Clinical in Stamford, Connecticut

NPI Number1417040908
Practice location
144 Morgan Street, Suite 7, Stamford, CT 06905
Fax
—
Last updated
July 21, 2022

John Reed Brundage is a Psychologist, Clinical based in Stamford, CT. John Reed Brundage practices in Stamford, CT and has the professional credentials of PHD. The NPI Number for John Reed Brundage is 1417040908 and holds a License No. 755 (CT). The current practice location address for John Reed Brundage is 144 Morgan Street, Suite 7, Stamford, CT 06905 and can be reached out via phone at 203-325-8411.

Provider Profile Details

NPI Number
1417040908
Provider Name
John Reed Brundage
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
144 Morgan Street, Suite 7, Stamford, CT 06905
Phone Number
203-325-8411
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Morgan Street
Suite 7
Stamford, CT 06905
Zip
06905
Phone Number
203-325-8411
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
70 Chambers Road
Danbury, CT 06811
City
Danbury
State
CT
Zip
06811
Phone Number
203-730-8486
Fax Number
203-730-2219

License Information

License Number
755
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John R Brundage, PHD?

The NPI number of Dr. John R Brundage, PHD is 1417040908. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Brundage, PHD?

Dr. John R Brundage, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 755.

Where does Dr. John R Brundage, PHD practice?

The practice location is 144 Morgan Street, Suite 7, Stamford, CT 06905. The office can be reached at 203-325-8411 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417040908 directly on the NPPES registry website.

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