Virginia Tai Runko, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05054 Issued in MD

Practice address

6535 N Charles St
Suite 550
Towson, MD 21204-5826

Phone

(410) 494-1662

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Virginia Tai Coryell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pulmonary and Critical Care Associates of Baltimore, P.a.

  • Pulmonary Disease Physician
  • Towson, MD
  • NPI 1043305832
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1023317518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "SUITE 550",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-494-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "SUITE 550",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-494-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKO",
        "first_name": "VIRGINIA",
        "middle_name": "TAI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "CORYELL",
            "middle_name": "TAI",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Rudden, LCPC, NCC
• Andrew Rudo, M.D.
• Ralph Ruggiero
• Namita Ruhela, MD
• Jose Tadeo Ruiz, MD
• Shannon Russell
• Kayla Ruszin
• Morgan Rutt
• Ruxton Pharmacy Inc
• Ruxton Surgicenter LLC

• Clinical Psychologist in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.