Domingo Ruiz Jr Jr., BS, MADR, PSYM, MFT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

20008 Champion Forest Dr Ste 601
Spring, TX 77379-8696

Phone

(281) 939-4337

NPI assigned

Oct 29, 2024

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1124840491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22002 FLASHING RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891472",
            "telephone_number": "281-881-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20008 CHAMPION FOREST DR STE 601",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798696",
            "telephone_number": "281-939-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ JR",
        "first_name": "DOMINGO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BS, MADR, PSYM, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vangogh Jovan Rucker
• Courtney Rudolph
• Alyssa Rue, SLPA
• Maharl Ruelos Pasatiempo, PT
• Brittany Nicole Ruffin, QMHP
• Javier Ruiz-Nazario, M.D.
• Leah Alycee Ruiz
• Miguel A Ruiz Jr., D.D.S.
• Warren Lester Balason Rule
• Runnels Chiropractic Clinic Inc

• Case Manager/Care Coordinator in Spring, TX
• Providers in Spring, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.