Richard Mark Rusovick, LMFT, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 50061 Issued in CA

Practice address

303 Twin Dolphin Dr
6TH Floor #74
Redwood City, CA 94065-1497

Phone

(951) 202-6799

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: richard.rusovick@49412312072196.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1013264811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 TWIN DOLPHIN DR",
            "address_2": "6TH FLOOR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651497",
            "telephone_number": "951-202-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TWIN DOLPHIN DR",
            "address_2": "6TH FLOOR #74",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651497",
            "telephone_number": "951-202-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSOVICK",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "LMFT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.