NPI Registry.org

Alice Nicole Schruba

NPI Registration Record

Provider / OrganizationNPIDate Certified
ALICE NICOLE SCHRUBA17701413192024-11-08

Alice Nicole Schruba is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770141319. Registration indicates Alice Nicole Schruba is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )

RegistrationPART-B:Y
DME:Y
HHA:N
PMD:N
Entity TypeIndividual
Provider NameDr. Alice Nicole Schruba PSYD
Practice Office Address55 FRUIT ST
BOSTON, MA US
Practice Office Telephone8173716202
Mailing Address55 FRUIT ST
BOSTON, MA 021142621 US
Business Telephone8173716202
HPT Codes
CodePractice
License No
State
103TC0700XAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Psychologist
Behavioral Health & Social Service Providers
Psychologist
Psychologist: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Psychologist Clinical
Behavioral Health & Social Service Providers
Psychologist
071010042
IL
103TC0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Psychologist
Behavioral Health & Social Service Providers
Psychologist
Psychologist: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Psychologist Clinical
Behavioral Health & Social Service Providers
Psychologist
PSY10000636
MA
OPI Codes
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