DR. NICOLE R. KRUGER PSY.D. NPI 1154428076

NPI Information

  • NPI: 1154428076
  • Provider Name: DR. NICOLE R. KRUGER, PSY.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 249 CLARKSON RD
    SUITE 102
    ELLISVILLE, MO
    ZIP 63011
  • Phone: (515) 557-0560

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NPI Details

DR. Nicole R. Kruger, PSY.D. is a clinical psychologist in Ellisville, MO. The provider is 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. DR. Nicole R. Kruger, PSY.D. NPI is 1154428076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

249 CLARKSON RD
SUITE 102
ELLISVILLE, MO
ZIP 63011-219
Phone: (515) 557-0560

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical2010042353MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102934OTHERIOWAWELLMARK BLUE CROSS
2I16969MEDICARE ID-TYPE UNSPECIFIEDIOWA
37522737OTHERIOWAMIDLANDS CHOICE
442105384450265A022OTHERIOWATRIWEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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