Individual provider Active NPI

Mitchell K Ruoff, PSY.D.

  • Psychologist
  • Wilmington, DE
National Provider Identifier
1194892216
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B1-0000496 Issued in DE
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

Updated by the provider on Jan 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51-0035PHDOtherDEBLUE CROSS ID#

Other names 1

  • Mitch K Ruoff Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000192 DE Practitioner - Clinical Psychologist 8527204304 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Pike Creek Counseling CurrentSince Jul 1, 2013 Accepting new patients
Pike Creek Psychological Center Psychologist PastSince Jan 17, 2013 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.

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

Verify at the official NPI Registry.