Caroll Ruiz, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37599 Issued in NY

Practice address

3720 74TH St FL 3
Jackson Heights, NY 11372-6338

Phone

(718) 426-6222

NPI assigned

Mar 7, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• New York Counseling for Change, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1891084794
  NPD
• New York Center for Addiction Treatment Services, Inc.

  • Clinic/Center
  • Jackson Heights, NY
  • NPI 1700263175
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104526276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 74TH ST FL 3",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 74TH ST FL 3",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726338",
            "telephone_number": "718-426-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CAROLL",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "37599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RRG Medical Practice, PC
• Minyi Ruan
• Ralph Tuason Rubio, RPAC
• Cyntia Ruen, LMT
• Yahaira Gabriela Ruiz-Ramirez, LMSW
• Kristina Ruiz, LMHC
• Sandra I Ruiz, LMSW
• Alexander Ryley, LMSW
• Elliot Sabbagh, DDS
• Jason Saca, LMSW

• Addiction (Substance Use Disorder) Counselor in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.