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

Dr. Keith Cruise, PHD, MLS

Individual provider Clinical Psychologist · NPI 1306615265

Dr. Keith Cruise, PHD, MLS is a Clinical Psychologist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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 Partly verified

Some contact details are missing from the federal record.

Department Of Psychology 441 East Fordham Rd
Bronx, NY 10458
Phone: (718) 817-3883
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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 016973 (NY)

Record details

NPI number1306615265
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MLS
Sole proprietorYes
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 19, 2023

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