MS. STEPHANI LOUISE BRUYER M.A.
NPI 1790975928
Psychologist in Bloomington, MN

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
1603 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55431(952) 767-3680(952) 767-0018 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stephani Louise Bruyer M.a. NPPES

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

MS. STEPHANI LOUISE BRUYER M.A. (NPI 1790975928) is an individual psychologist in Bloomington, Minnesota, licensed in Minnesota (LP3669) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1790975928
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. STEPHANI LOUISE BRUYERCredential: M.A.
Location Address1603 W OLD SHAKOPEE RDBloomington, MN 55431-3065
Mailing Address18986 Lake Dr EChanhassen, MN 55317-9348 · (952) 474-5974 · Fax (952) 474-3654
Fax(952) 767-0018
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 25, 2007
Last NPPES UpdateFebruary 4, 2014
NPI 1790975928 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 MN · LP3669
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.
1603 W OLD SHAKOPEE RD, Bloomington, MN 55431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Stephani Louise Bruyer M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264718048
PECOS Enrollment IDI20250306000118
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

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

Nurse Practitioner (Psychiatric/Mental Health)
1603 W OLD SHAKOPEE RD
BLOOMINGTON, MN 55431

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 Stephani Bruyer's NPI number?

The NPI number for Stephani Bruyer is 1790975928. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Stephani Bruyer located?

Stephani Bruyer practices at 1603 W Old Shakopee Rd, Bloomington, MN 55431. The listed phone number is (952) 767-3680.

What is Stephani Bruyer's specialty?

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

Is Stephani Bruyer enrolled in Medicare?

Yes. Stephani Bruyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephani Bruyer was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.