Christopher Ruth, PSYCHOLOGIST

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1323 Issued in SC

Practice address

402 Pendleton Rd Ste 4
Clemson, SC 29631-2241

Phone

(864) 633-0210

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 7, 2021 through Oct 7, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Counseling and Psychological Services of the Upstate

  • Counseling Psychologist
  • Clemson, SC
  • NPI 1699217364
  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063483741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HOLLY AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312347",
            "telephone_number": "864-633-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PENDLETON RD STE 4",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312241",
            "telephone_number": "864-633-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "CHRISTOPHER",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004405",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "1323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Hamilton Roper, SLP
• John E. Ross III, D.M.D.
• Eric Christopher Roux, LAT, ATC
• Katherine Rovtar, ATC
• Sarah Elizabeth Russell, MA, LMFT/A, CTP
• Ryan P. Macrae, LLC
• Jake Edward Rydland
• Corrine Rae Sackett, LMFT
• Henry D. Salter III, M.D.
• Nicholas Richard Saul, BS, MSAT

• Counseling Psychologist in Clemson, SC
• Providers in Clemson, SC by specialty
• Counseling Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.