DR. BRUCE J. ROBERTSON PHD
NPI 1396770434
Psychologist in Green Bay, WI

Active since July 11, 2006PECOS Enrolled
2631 PACKERLAND DR, SUITE 104-C, GREEN BAY, WI 54313(920) 965-7701(920) 497-4956 Get Directions Write a Review

NPPES record last updated: September 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bruce J. Robertson Phd NPPES

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

DR. BRUCE J. ROBERTSON PHD (NPI 1396770434) is an individual psychologist in Green Bay, Wisconsin, licensed in Wisconsin (1992-057) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1396770434
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRUCE J. ROBERTSONCredential: PHD
Location Address2631 PACKERLAND DR, SUITE 104-CGreen Bay, WI 54313-4130
Mailing Address2631 Packerland Dr, Suite 104-cGreen Bay, WI 54313-4130 · (920) 965-7701 · Fax (920) 497-4956
Fax(920) 497-4956
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 12, 2009
NPI 1396770434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 1992-057
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.
2631 PACKERLAND DR, Green Bay, WI 54313

Other Identifiers 2

Medicare ID-Type Unspecified85206-0022WI
Medicaid39699400WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bruce J. Robertson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365344801
PECOS Enrollment IDI20040123000918
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 2

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

Social Worker (Clinical)
2631 PACKERLAND DR, SUITE 104C
GREEN BAY, WI 54313
Social Worker
2631 PACKERLAND DR, SUITE 104C
GREEN BAY, WI 54313

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 Bruce Robertson's NPI number?

The NPI number for Bruce Robertson is 1396770434. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Bruce Robertson located?

Bruce Robertson practices at 2631 Packerland Dr Suite 104-C, Green Bay, WI 54313. The listed phone number is (920) 965-7701.

What is Bruce Robertson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bruce Robertson enrolled in Medicare?

Yes. Bruce Robertson is registered in the Medicare PECOS enrollment system.

What insurance does Bruce Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Bruce Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Robertson was last updated on September 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.