Active NPI
Ruth Rhea Baron, PSY.D.
- Psychologist
- Brewster, NY
National Provider Identifier
1124234604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9109
- Practice address
- 2409 Carmel Ave.
Brewster, NY 10509 - Phone
- (845) 228-1204
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9109 | NY | Primary |
Addresses
Primary practice location
2409 Carmel Ave.
Brewster, NY 10509
Mailing address
88 Bryant Trail
Carmel, NY 10512
Phone (845) 228-1204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6894148 | Other | NY | GHI |
| 6894148 | Other | NY | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9109 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124234604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 BRYANT TRAIL",
"city": "CARMEL",
"state": "NY",
"postal_code": "10512",
"telephone_number": "845-228-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 CARMEL AVE.",
"city": "BREWSTER",
"state": "NY",
"postal_code": "10509",
"telephone_number": "845-228-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "RUTH",
"middle_name": "RHEA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "9109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6894148",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "6894148",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.