MR. ROBERT A JR. BRUCKER (PSY.D.) – Clinical Psychologist, NPI 1841224748

MR. ROBERT A JR. BRUCKER (PSY.D.) is a healthcare provider. based in Plainfield, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071006097 (IL). The NPI Number for MR. ROBERT A JR. BRUCKER (PSY.D.) is 1841224748

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT A JR. BRUCKER (PSY.D.)
NPI
1841224748
Phone
(815) 609-1544
Address
14953 S VAN DYKE RD
Enumeration Date
10 July 2006
Last Update Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156091544
Graduation Year
1998 (28 years ago)
PAC ID
0446257950
Group Practice PAC ID
2567596190
Professional Enrollment ID
I20061025000733
Address ID
IL605445804PL14953RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for MR. ROBERT A JR. BRUCKER (PSY.D.)

  • South Van Dyke Road, Plainfield, Will County, Illinois, 60544, United States

    PLAINFIELD, IL 605445804

    Phone: (815) 609-1544

    Fax: (815) 609-1670

    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: 2006-10-25

PECOS data refreshed: 2026-05-27

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
I20061025000733IClinical PsychologistILTBD

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 60544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567596190View full group profile
NameSpecialtyState
Clinical PsychologistIL
-IL
Mental Health CounselorIL
Nurse PractitionerIL
P S Y C H I A T R YIL
Psychiatry, Internal MedicineIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
-IL

Reviews

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Frequently asked questions

What number should I use to identify MR. ROBERT A JR. BRUCKER (PSY.D.) for billing?
Administrative and clinical systems typically use NPI 1841224748 for MR. ROBERT A JR. BRUCKER (PSY.D.).
Should I treat MR. ROBERT A JR. BRUCKER (PSY.D.) as an active provider?
Patients and plans typically see MR. ROBERT A JR. BRUCKER (PSY.D.) as active in the national extract.
What type of care does MR. ROBERT A JR. BRUCKER (PSY.D.) provide?
MR. ROBERT A JR. BRUCKER (PSY.D.)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. ROBERT A JR. BRUCKER (PSY.D.)?
MR. ROBERT A JR. BRUCKER (PSY.D.) is associated with Plainfield, Illinois in the same public data insurers reference.
Who maintains MR. ROBERT A JR. BRUCKER (PSY.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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