DR. BRUCE A. BACKUS PHD
NPI 1518988765
Psychologist in Hartford, CT

Active since July 22, 2006PECOS Enrolled
674 PROSPECT AVE, HARTFORD, CT 06105(860) 233-6228(860) 233-2371 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Bruce A. Backus Phd NPPES

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

DR. BRUCE A. BACKUS PHD (NPI 1518988765) is an individual psychologist in Hartford, Connecticut, licensed in Connecticut (000-998) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518988765
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRUCE A. BACKUSCredential: PHD
Location Address674 PROSPECT AVEHartford, CT 06105-4288
Mailing Address95 Punch Brook RdBurlington, CT 06013-1814 · (860) 673-5949
Fax(860) 233-2371
Sole ProprietorYes
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1518988765 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 CT · 000-998
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.
674 PROSPECT AVE, Hartford, CT 06105

Other Identifiers 2

Medicaid4061628CT
Medicare ID-Type Unspecified680000012CT

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 A. Backus Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Psychologist
674 PROSPECT AVE
HARTFORD, CT 06105
Clinic/Center (Adolescent and Children Mental Health)
674 PROSPECT AVE
HARTFORD, CT 06105
Social Worker (Clinical)
674 PROSPECT AVE
HARTFORD, CT 06105
Social Worker (Clinical)
674 PROSPECT AVE
HARTFORD, CT 06105
Psychologist (Cognitive & Behavioral)
674 PROSPECT AVE
HARTFORD, CT 06105
Social Worker
674 PROSPECT AVE
HARTFORD, CT 06105
Psychiatry & Neurology (Child & Adolescent Psychiatry)
674 PROSPECT AVE
HARTFORD, CT 06105
Psychologist (Clinical)
674 PROSPECT AVE
HARTFORD, CT 06105

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 Backus's NPI number?

The NPI number for Bruce Backus is 1518988765. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Bruce Backus located?

Bruce Backus practices at 674 Prospect Ave, Hartford, CT 06105. The listed phone number is (860) 233-6228.

What is Bruce Backus's specialty?

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

Is Bruce Backus enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bruce Backus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.