Marguerite Ruppenicker, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3193 Issued in CT

Practice address

49 Sherwood Ter
Basement Level
Old Saybrook, CT 06475-2123

Phone

(860) 388-9882

Fax

(860) 388-9882

NPI assigned

Jun 6, 2016

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

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Marguerite Ruppenicker LLC

  • Counseling Psychologist
  • Old Saybrook, CT
  • NPI 1477568806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1053760579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064980645",
            "telephone_number": "860-388-9882",
            "fax_number": "860-388-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SHERWOOD TER",
            "address_2": "BASEMENT LEVEL",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752123",
            "telephone_number": "860-388-9882",
            "fax_number": "860-388-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPENICKER",
        "first_name": "MARGUERITE",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Robles
• Michele Rollins, RPH
• Richard Roth, RPH
• Rpat, Inc
• Marlana A Rugg, PSY D
• Leah Av Russack-Baker, LADC
• Thomas Gerard Ryan, LICAC
• Monique Elise Salvas, PA-C
• Samson Dental
• Samson Dental

• Clinical Psychologist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.