Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bruce Nystrom, PHD

Individual provider Psychologist · NPI 1700983368

Dr. Bruce Nystrom, PHD is a Psychologist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2006
Specialties on file
10
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859
Phone: (316) 616-0260
Fax: (316) 616-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 610 (KS)
Psychologist Taxonomy 103T00000X · Licence 610 (KS)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 610 (KS)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 610 (KS)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 610 (KS)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 610 (KS)
Family Psychologist Taxonomy 103TF0000X · Licence 610 (KS)
Forensic Psychologist Taxonomy 103TF0200X · Licence 610 (KS)
Health Service Psychologist Taxonomy 103TH0100X · Licence 610 (KS)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 610 (KS)

Record details

NPI number1700983368
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 17, 2006
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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