Terrill Lewis Bruett
Terrill Lewis Bruett · Psychologist

Address: 2717 Grandview Blvd Suite 303, Waukesha, WI 53188
Phone: 2625446486

Terrill Lewis Bruett (NPI# 1922194737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922194737
Entity Type Individual
Full Name Terrill Lewis Bruett
Other Name Terrill Lewis Bruett
Credential ED.D.
Gender Male
Practice Address 2717 Grandview Blvd Suite 303
Waukesha
WI 53188
Practice Telephone 2625446486
Practice Fax Number 2625446377
Mailing Address 405 Oakwood Dr
Thiensville
WI 53092-1327
Mailing Telephone 2622429405
Mailing Fax Number 2625446377
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-05
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103T00000X Psychologist Behavioral Health & Social Service Providers 480-057 WI

Physician Overview

NPI 1922194737
PAC ID by PECOS 1759522964
Professional Enrollment ID I20130731000585
Full Name Terrill L Bruett
Organization Legal Name CARY J KOHLENBERG MD SC
Phone Number 2625130700
Gender M
Graduation Year 1972
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 9537140611
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Office Location

Street Address 2717 GRANDVIEW BLVD SUITE 303
City WAUKESHA
State WI
Zip Code 53188

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1063905461 Cheryl Buroker Student in an Organized Health Care Education/Training Program 2067 North Grandview Blvd, Suite 110, Waukesha, WI 53188 2018-06-11
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavior Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
1316365331 Kristine Sullivan Obstetrics & Gynecology 721 American Ave Ste 304, Waukesha, WI 53188 2014-04-07
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649588872 David Radovich Psychologist W231n1440 Corporate Ct Ste 310, Waukesha, WI 53186-1303 2010-09-22
1316023377 Efficiency Management Consulting Psychologist 20860 Watertown Rd, Waukesha, WI 53186-1872 2006-10-31
1669480059 Jane Marie Schneider Psychologist 741 N Grand Ave Ste 302, Waukesha, WI 53186-4820 2006-08-03
1407875230 Jay Allen Psychologist 2314 N Grandview Blvd, Suites 301 and 110, Waukesha, WI 53188-1675 2006-07-19
1447223045 Timothy E. Tyre Psychologist Waukesha Memorial Hospital-neuroscience Center, 725 American Avenue, Waukesha, WI 53188 2006-02-13
1902358120 Laurie Donnell Bjustrom Psychologist 741 N Grand Ave Ste 302, Waukesha, WI 53186-4841 2016-11-04
1710226691 Bridget Elizabeth Kanz Psychologist 514 Riverview Ave, Waukesha, WI 53188-3631 2013-02-12
1033341953 Sheila Marie Gissibl Psychologist 2607 N Grandview Blvd, Suite 108, Waukesha, WI 53188-1686 2009-08-11
1114175262 Michele A Cusatis Psychologist 1501 Airport Rd, Waukesha, WI 53188-2461 2008-09-03
1396925004 Amy Schley Phd Sc Psychologist 204 Wisconsin Ave, Waukesha, WI 53186-4927 2007-11-09
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City WAUKESHA
Zip Code 53188

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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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