DR. NICCOLE K BRUSA PSY.D
NPI 1336507342
Psychologist - Clinical in Bloomingdale, IL

Active since February 04, 2016
121 FAIRFIELD WAY, SUITE 240, BLOOMINGDALE, IL 60108(630) 309-2989 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Niccole K Brusa Psy.d NPPES

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

DR. NICCOLE K BRUSA PSY.D (NPI 1336507342) is an individual clinical provider in Bloomingdale, Illinois, licensed in Illinois (071009162) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1336507342
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICCOLE K BRUSACredential: PSY.D
Location Address121 FAIRFIELD WAY, SUITE 240Bloomingdale, IL 60108-1588
Mailing Address121 Fairfield Way, Suite 240Bloomingdale, IL 60108-1588 · (630) 309-2989
Sole ProprietorYes
Enumeration DateFebruary 4, 2016
NPI 1336507342 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 IL · 071009162
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.
121 FAIRFIELD WAY, Bloomingdale, IL 60108

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
121 FAIRFIELD WAY, 240
BLOOMINGDALE, IL 60108
Family Medicine
121 FAIRFIELD WAY, STE 207
BLOOMINGDALE, IL 60108
Home Health
121 FAIRFIELD WAY, SUITE 207
BLOOMINGDALE, IL 60108
Home Health
121 FAIRFIELD WAY, SUITE 224
BLOOMINGDALE, IL 60108
Internal Medicine
121 FAIRFIELD WAY, SUITE 207
BLOOMINGDALE, IL 60108
Specialist
121 FAIRFIELD WAY, SUITE 207
BLOOMINGDALE, IL 60108
Psychiatry & Neurology (Psychiatry)
121 FAIRFIELD WAY, SUITE 240
BLOOMINGDALE, IL 60108
Home Health
121 FAIRFIELD WAY, SUITE 207
BLOOMINGDALE, IL 60108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niccole Brusa's NPI number?

The NPI number for Niccole Brusa is 1336507342. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Niccole Brusa located?

Niccole Brusa practices at 121 Fairfield Way Suite 240, Bloomingdale, IL 60108. The listed phone number is (630) 309-2989.

What is Niccole Brusa's specialty?

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

When was this NPI record last updated?

The NPPES record for Niccole Brusa was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.