Individual provider Active NPI

Ruth Michelle Eastman, MS CLINICAL PSYCHOLO

  • Marriage & Family Therapist
  • Gilroy, CA
National Provider Identifier
1124294285
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 51075 Issued in CA
Practice address
8352 Church St
Suite #
Gilroy, CA 95020-4449
Phone
(408) 848-6511
Fax
(408) 848-2099
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 51075 CA Primary

Addresses

Primary practice location

8352 Church St
Suite #
Gilroy, CA 95020-4449

Mailing address

8352 Church St
Suite #
Gilroy, CA 95020-4449
Phone (408) 848-6511

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF 51075CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1124294285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 CHURCH ST",
            "address_2": "SUITE #",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204449",
            "telephone_number": "408-848-6511",
            "fax_number": "408-848-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 CHURCH ST",
            "address_2": "SUITE #",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204449",
            "telephone_number": "408-848-6511",
            "fax_number": "408-848-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "RUTH",
        "middle_name": "MICHELLE",
        "credential": "MS CLINICAL PSYCHOLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 51075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

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