JOHN BRUNO
NPI 1063810786
Counselor - Mental Health in Hampton Bays, NY

Q: What is John Bruno's NPI number?

The NPI number for John Bruno is 1063810786. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Q: What is John Bruno's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for John Bruno was last updated on December 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment

31 E MONTAUK HWY, HAMPTON BAYS, NY 11946(631) 723-3362(631) 723-3365 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Bruno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN BRUNO (NPI 1063810786) is an individual mental health provider in Hampton Bays, New York, licensed in New York (P87195) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063810786

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN BRUNO

Location Address31 E MONTAUK HWYHampton Bays, NY 11946-1816

Mailing Address18 Bruce DrManorville, NY 11949-2807 · (631) 723-3362

Phone(631) 723-3362

Fax(631) 723-3365

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 11, 2014

✔ NPI 1063810786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P87195

31 E MONTAUK HWY, Hampton Bays, NY 11946

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Other Identifiers 1

OtherP87195NY · Nysed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Bruno is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355785528

PECOS Enrollment IDI20240215001011

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA A LINGARD CASAC-T

Counselor (Addiction (Substance Use Disorder))