Jeffrey Ruser, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20043924A Issued in IN

Practice address

113 Joyce Ctr Ste C45
Notre Dame, IN 46556-5678

Phone

(847) 494-7643

NPI assigned

Jul 8, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1043100126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E LASALLE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172605",
            "telephone_number": "847-494-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 JOYCE CTR STE C45",
            "city": "NOTRE DAME",
            "state": "IN",
            "postal_code": "465565678",
            "telephone_number": "847-494-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043924A",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "IN",
            "license": "20043924A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy I Ogrady, ACSW / LMFT
• Isabela Kae Petitgout, MSW
• Premise Health of Indiana Medical PC (Notre Dame Wellness Center)
• Alicia Marie Roane, ATC
• Lisa Renee Roeder, MD
• Jim Russ
• Renee Schutze, DNP, FNP-C
• Meghan Haid Sterling, DPT
• The South Bend Clinic LLC
• University of Notre Dame

• Counseling Psychologist in Notre Dame, IN
• Providers in Notre Dame, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.