Randal Clay Bruce, PH.D.
NPI 1306834551ActiveIndividual· Clinical Neuropsychologist· Farmington Hills, MI
Clinical Neuropsychologist (PH.D.) in Farmington Hills, Michigan, trained at Wayne State University School of Medicine (class of 1993). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1306834551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | May 21, 2023 |
| Certified by provider | May 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 6301007332 | MI |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 6301007332 | MI |
| Psychologist, Clinical | 103TC0700X | 6301007332 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Clinical Psychologist |
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