Dr Bruce Nystrom, PHD - Psychologist in Wichita, KS

Dr Bruce Nystrom, PHD is a Psychologist - Clinical based in Wichita, Kansas. Dr Bruce Nystrom is licensed to practice in Kansas (license number 610) and his current practice location is 4013 N Ridge Rd Ste 110, Wichita, Kansas. He can be reached at his office (for appointments etc.) via phone at (316) 616-0260.

NPI number for Dr Bruce Nystrom is 1700983368 and his current mailing address is 727 N Waco Ave Ste 320, Wichita, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700983368.

Contact Information

Dr Bruce Nystrom, PHD
4013 N Ridge Rd Ste 110,
Wichita, KS 67205-8859
(316) 616-0260
(316) 616-0264

Map and Direction




Healthcare Provider's Profile

Full NameDr Bruce Nystrom
GenderMale
SpecialityPsychologist - Clinical
Location4013 N Ridge Rd Ste 110, Wichita, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700983368
  • Provider Enumeration Date: 09/17/2006
  • Last Update Date: 08/30/2022

Medical Identifiers

Medical identifiers for Dr Bruce Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700983368NPI-NPPES
100239970 BMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 610 (Kansas)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) 610 (Kansas)Secondary
103TA0700XPsychologist - Adult Development & Aging 610 (Kansas)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 610 (Kansas)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 610 (Kansas)Secondary
103TF0000XPsychologist - Family 610 (Kansas)Secondary
103TF0200XPsychologist - Forensic 610 (Kansas)Secondary
103TH0100XPsychologist - Health Service 610 (Kansas)Secondary
103TP2701XPsychologist - Group Psychotherapy 610 (Kansas)Secondary
103TC0700XPsychologist - Clinical 610 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Nystrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bruce Nystrom, PHD
727 N Waco Ave Ste 320,
Wichita, KS 67203-3972

Ph: (316) 616-0260
Dr Bruce Nystrom, PHD
4013 N Ridge Rd Ste 110,
Wichita, KS 67205-8859

Ph: (316) 616-0260

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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