GARY JR. BRUCATO PHD
NPI 1326638719
Psychologist - Clinical in New York, NY

Q: What is Gary Brucato's NPI number?

The NPI number for Gary Brucato is 1326638719. It was assigned to this individual provider in the NPPES registry on January 20, 2021. The provider is also known as Dr. Gary Brucato Phd.

Q: What is Gary Brucato's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Gary Brucato enrolled in Medicare?

No. Gary Brucato has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gary Brucato was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2021Opted out of Medicare · through Feb 18, 2028

276 5TH AVE RM 605, NEW YORK, NY 10001(917) 847-7556 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary Jr. Brucato Phd NPPES

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

GARY JR. BRUCATO PHD (NPI 1326638719) is an individual clinical provider in New York, New York, licensed in New York (019614) and active in the NPI registry since January 2021. He has opted out of Medicare through February 18, 2028.

NPPES Registry Identity

NPI1326638719

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameGARY JR. BRUCATOCredential: PHD

Location Address276 5TH AVE RM 605New York, NY 10001-4527

Mailing Address7143 58th AveMaspeth, NY 11378-2662 · (347) 351-7010

Phone(917) 847-7556

Sole ProprietorYes

Enumeration DateJanuary 20, 2021

NPPES CertifiedJanuary 20, 2021

✔ NPI 1326638719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 019614

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

276 5TH AVE RM 605, New York, NY 10001

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Other Names 1

Other Name (5)Dr. Gary Brucato Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gary Jr. Brucato Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2024 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2024

Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 19

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

MARYAM ABDULRAZZAK

Counselor (Mental Health)