Active NPI
Mitchell K Ruoff, PSY.D.
- Psychologist
- Wilmington, DE
National Provider Identifier
1194892216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- B1-0000496
- Practice address
- 5618 Kirkwood Hwy Ste 2
Wilmington, DE 19808-5004 - Phone
- (302) 898-9229
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- 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 | B1-0000496 | DE | Primary |
Addresses
Primary practice location
5618 Kirkwood Hwy Ste 2
Wilmington, DE 19808-5004
Mailing address
5618 Kirkwood Hwy Ste 2
Wilmington, DE 19808-5004
Phone (302) 898-9229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51-0035PHD | Other | DE | BLUE CROSS ID# |
Other names 1
- Mitch K Ruoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5618 Kirkwood Hwy
Suite 2
Wilmington, DE 19808-5004
Phone (302) 898-9229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pike Creek Counseling | Current | Accepting new patients | |
| Pike Creek Psychological Center | Psychologist | Past | Accepting new patients |
Locations
5618 Kirkwood Hwy
Ste 2
Wilmington, DE 19808
Phone (302) 898-9229
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Wilmington, DE
- NPI 1558708065
-
- Psychologist
- Newark, DE
- NPI 1255407698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1194892216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5618 KIRKWOOD HWY STE 2",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085004",
"telephone_number": "302-898-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 KIRKWOOD HWY STE 2",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085004",
"telephone_number": "302-898-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUOFF",
"first_name": "MITCHELL",
"middle_name": "K",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B1-0000496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID#",
"identifier": "51-0035PHD",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MITCH",
"last_name": "RUOFF",
"middle_name": "K",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.