DR. BRUCE DOUGLAS WEBSTER PHD
NPI 1538130406
Psychologist in Newport Beach, CA

Active since January 30, 2006Opted out of Medicare · through Oct 1, 2026
20101 SW BIRCH ST, ST # 100, NEWPORT BEACH, CA 92660(949) 851-9102(949) 786-0112 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce Douglas Webster Phd NPPES

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

DR. BRUCE DOUGLAS WEBSTER PHD (NPI 1538130406) is an individual psychologist in Newport Beach, California, licensed in California (PSY7847) and active in the NPI registry since January 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538130406
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRUCE DOUGLAS WEBSTERCredential: PHD
Location Address20101 SW BIRCH ST, ST # 100Newport Beach, CA 92660-1748
Mailing Address20101 Sw Birch St, St # 100Newport Beach, CA 92660-1748 · (949) 851-9102 · Fax (949) 786-0112
Fax(949) 786-0112
Sole ProprietorYes
Enumeration DateJanuary 30, 2006
Last NPPES UpdateOctober 15, 2010
NPI 1538130406 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 CA · PSY7847
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.
20101 SW BIRCH ST, Newport Beach, CA 92660

Other Identifiers 1

Medicare ID-Type UnspecifiedCP7847CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Bruce Douglas Webster 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 October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

Acupuncturist
20101 SW BIRCH ST, STE 110
NEWPORT BEACH, CA 92660
Social Worker (Clinical)
20101 SW BIRCH ST
NEWPORT BEACH, CA 92660
Marriage & Family Therapist
20101 SW BIRCH ST
NEWPORT BEACH, CA 92660
Physical Therapist (Orthopedic)
20101 SW BIRCH ST, SUITE 140
NEWPORT BEACH, CA 92660
Speech-Language Pathologist
20101 SW BIRCH ST, STE 140
NEWPORT BEACH, CA 92660
Physical Therapist (Orthopedic)
20101 SW BIRCH ST, STE 140
NEWPORT BEACH, CA 92660
Marriage & Family Therapist
20101 SW BIRCH ST, SUITE 240
NEWPORT BEACH, CA 92660
Marriage & Family Therapist
20101 SW BIRCH ST, SUITE 240
NEWPORT BEACH, CA 92660

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 Webster's NPI number?

The NPI number for Bruce Webster is 1538130406. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Bruce Webster located?

Bruce Webster practices at 20101 SW Birch St St # 100, Newport Beach, CA 92660. The listed phone number is (949) 851-9102.

What is Bruce Webster's specialty?

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

Is Bruce Webster enrolled in Medicare?

No. Bruce Webster has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bruce Webster was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.