DR. GARY BRUSS PH.D.
NPI 1902350549
Psychologist - Clinical in Newport Beach, CA

Q: What is Gary Bruss's NPI number?

The NPI number for Gary Bruss is 1902350549. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Q: What is Gary Bruss's specialty?

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

Q: Is Gary Bruss enrolled in Medicare?

No. Gary Bruss has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gary Bruss was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 11, 2016Opted out of Medicare · through Jul 1, 2028

5020 CAMPUS DR, NEWPORT BEACH, CA 92660(949) 294-2539 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Gary Bruss Ph.d. NPPES

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

DR. GARY BRUSS PH.D. (NPI 1902350549) is an individual clinical provider in Newport Beach, California, licensed in California (PSY16019) and active in the NPI registry since August 2016. He has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1902350549

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GARY BRUSSCredential: PH.D.

Location Address5020 CAMPUS DRNewport Beach, CA 92660-2120

Mailing Address5020 Campus DrNewport Beach, CA 92660-2120 · (949) 294-2539

Phone(949) 294-2539

Sole ProprietorYes

Enumeration DateAugust 11, 2016

✔ NPI 1902350549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY16019

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.

5020 CAMPUS DR, Newport Beach, CA 92660

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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. Gary Bruss Ph.d. 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 July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. RACHEL DORE PSY.D.

Psychologist