Roberto Ruiz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00339C Issued in NV

Practice address

2725 Byron Dr
Las Vegas, NV 89134-7583

Phone

(702) 321-9103

NPI assigned

May 18, 2007

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)

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.

• Balanced Mind Centers LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Las Vegas, NV
  • NPI 1629557509
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1134337652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 BYRON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891347583",
            "telephone_number": "702-321-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 BYRON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891347583",
            "telephone_number": "702-321-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ROBERTO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "00339C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Ruiz
• Mercedez Ruiz
• Michael Ruiz
• Molly Ruiz
• Ralph Ruiz, LMSW, CSW INTERN
• Rogelio Ruiz
• Sergio Ruiz
• Sharon Pedroche Ruiz, FNP
• Sonya Renee Ruiz, DDS
• Teresa Ruiz

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.