Active NPI
Michele Ruffy, PH.D.
- Psychologist
- St.Peters, MO
National Provider Identifier
1174522759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00524
- Practice address
- 4200 Cloverleaf Drive
Suite J-K
St.Peters, MO 63376 - Phone
- (636) 928-5109
- Fax
- (636) 447-4678
- NPI assigned
- Jul 18, 2005
- Last updated
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 00524 | MO | Primary |
Addresses
Primary practice location
4200 Cloverleaf Drive
Suite J-K
St.Peters, MO 63376
Mailing address
5000 Cedar Plaza Parkway
Ste 350
Saint Louis, MO 63128-3441
Phone (314) 843-4333
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Care Consultants LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1174522759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CEDAR PLAZA PARKWAY",
"address_2": "STE 350",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283441",
"telephone_number": "314-843-4333",
"fax_number": "314-843-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 CLOVERLEAF DRIVE",
"address_2": "SUITE J-K",
"city": "ST.PETERS",
"state": "MO",
"postal_code": "63376",
"telephone_number": "636-928-5109",
"fax_number": "636-447-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFY",
"first_name": "MICHELE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "00524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St.Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.