DR. GREG MARTIN BRUNO (PH.D AND LCSW) – Psychologist, NPI 1104936434

DR. GREG MARTIN BRUNO (PH.D AND LCSW) is a healthcare provider. based in Santa cruz, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D AND LCSW. They hold a License No. PSY 14956 (CA). The NPI Number for DR. GREG MARTIN BRUNO (PH.D AND LCSW) is 1104936434

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREG MARTIN BRUNO (PH.D AND LCSW)
NPI
1104936434
Phone
(831) 588-7299
Address
740 FRONT ST
Enumeration Date
30 August 2006
Last Update Date
16 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8315887299
Graduation Year
1995 (31 years ago)
PAC ID
7113286394
Professional Enrollment ID
I20180116000787
Address ID
CA950604536SA740XXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,473 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. GREG MARTIN BRUNO (PH.D AND LCSW)

  • 740, Front Street, Downtown District (Commercial), Downtown, Santa Cruz, Santa Cruz County, California, 95060, United States

    SUITE 320

    SANTA CRUZ, CA 950604535

    Phone: (831) 588-7299

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180116000787IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95060)

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Reviews

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Frequently asked questions

Does DR. GREG MARTIN BRUNO (PH.D AND LCSW) have a public NPI I can cite?
Public records show DR. GREG MARTIN BRUNO (PH.D AND LCSW) under NPI 1104936434.
Is DR. GREG MARTIN BRUNO (PH.D AND LCSW)'s NPI status active today?
Active status means DR. GREG MARTIN BRUNO (PH.D AND LCSW)'s NPI record is not deactivated in the public file.
What type of care does DR. GREG MARTIN BRUNO (PH.D AND LCSW) provide?
DR. GREG MARTIN BRUNO (PH.D AND LCSW)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. GREG MARTIN BRUNO (PH.D AND LCSW)?
The directory associates DR. GREG MARTIN BRUNO (PH.D AND LCSW) with Santa Cruz, California. Check all listed addresses for suites or satellite offices.
Can I export DR. GREG MARTIN BRUNO (PH.D AND LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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