Organization Active NPI

D Ruskowski & Associates PC

  • Mental Health Counselor
  • Swampscott, MA
National Provider Identifier
1053597450
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1216 Issued in MA
Legal business name
D RUSKOWSKI & ASSOCIATES PC
Practice address
23 Railroad Ave
Suite 5
Swampscott, MA 01907-1858
Phone
(781) 780-3037
Fax
(978) 750-0370
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mrs. Donna M Ruskowski, MALMHC
Title
President/Owner
Phone
(781) 780-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1216 MA Primary

Addresses

Primary practice location

23 Railroad Ave
Suite 5
Swampscott, MA 01907-1858

Mailing address

23 Railroad Ave
Suite 5
Swampscott, MA 01907-1858
Phone (781) 780-3037

Other identifiers 1

IdentifierTypeStateIssuer
1895354MedicaidMA

National Provider Directory

National Provider Directory

Locations

23 Railroad Ave
Ste 5
Swampscott, MA 01907
Phone (781) 780-3037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1053597450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RAILROAD AVE",
            "address_2": "SUITE 5",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071858",
            "telephone_number": "781-780-3037",
            "fax_number": "978-750-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RAILROAD AVE",
            "address_2": "SUITE 5",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071858",
            "telephone_number": "781-780-3037",
            "fax_number": "978-750-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D RUSKOWSKI & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "RUSKOWSKI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-780-3037",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MALMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.