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DR. BRUCE NYSTROM PHD
NPI 1700983368
Psychologist - Clinical in Wichita, KS

Active since September 17, 2006
4013 N RIDGE RD STE 110, WICHITA, KS 67205(316) 616-0260(316) 616-0264 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Nystrom Phd NPPES

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

DR. BRUCE NYSTROM PHD (NPI 1700983368) is an individual clinical provider in Wichita, Kansas, licensed in Kansas (610) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1700983368
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRUCE NYSTROMCredential: PHD
Location Address4013 N RIDGE RD STE 110Wichita, KS 67205-8859
Mailing Address727 N Waco Ave Ste 320Wichita, KS 67203-3972 · (316) 616-0260 · Fax (316) 616-0264
Phone(316) 616-0260
Fax(316) 616-0264
Sole ProprietorYes
Enumeration DateSeptember 17, 2006
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1700983368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KS · 610
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.
Also ListedPsychologistTaxonomy 103T00000X · License 610 (KS)
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 610 (KS)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 610 (KS)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 610 (KS)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 610 (KS)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 610 (KS)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 610 (KS)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 610 (KS)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 610 (KS)
4013 N RIDGE RD STE 110, Wichita, KS 67205
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Other Identifiers 1

Medicaid100239970 BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

BIANCA C RODRIGUEZ LMFT
Marriage & Family Therapist
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 945-5200
REVIVE & THRIVE MENTAL HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 631-2454
RYNA ANN FISHER
Counselor (Professional)
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 201-6294
MRS. DEBRA J. BUCKLE MORGAN F.N.P., P.M.H.N.P.
Nurse Practitioner
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 201-6294
JULIE LANG
Counselor (Professional)
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (785) 342-3087
AUSTIN BOHANON
Counselor (Professional)
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 210-6294
JEREMY MICHAEL HENNING LPC 04598-T.
Counselor (Professional)
4013 N RIDGE RD STE 110
WICHITA, KS 67205
Sedgwick County (316) 201-6294

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 Nystrom's NPI number?

The NPI number for Bruce Nystrom is 1700983368. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Bruce Nystrom located?

Bruce Nystrom practices at 4013 N Ridge Rd Ste 110, Wichita, KS 67205. The listed phone number is (316) 616-0260.

What is Bruce Nystrom's specialty?

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

What insurance does Bruce Nystrom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Bruce Nystrom 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 Nystrom was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.