Maryellen Mikoleski Ruth, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3444 Issued in CT

Practice address

5153 Craig Rath Blvd
Midlothian, VA 23112-6258

Phone

(980) 785-1113

NPI assigned

Dec 18, 2014

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mosaic Group, LLC

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  • NPI 1144682873
  NPD (past)
• Sasco River Center

  • Occupational Therapist
  • Darien, CT
  • NPI 1972133429
  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255739520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 S STREAM BLVD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170143",
            "telephone_number": "980-785-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 CRAIG RATH BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126258",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Pineville Matthews Rd Ste S",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "NC",
            "postal_code": "281348840",
            "country_code": "US",
            "telephone_number": "980-785-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Beach St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "CT",
            "postal_code": "067562310",
            "country_code": "US",
            "telephone_number": "631-697-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKOLESKI RUTH",
        "first_name": "MARYELLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "7021",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810009026",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlothian Orthopedic Sports Therapy
• Midlothian Primary Care, LTD.
• Midlothian Wellness Clinic, LLC (Medi Weightloss)
• Melissa Miesner, M.S., CCC-SLP
• Natalie Mikolajczak
• Alexandra Richards Mildrum, DPT
• Amanda Kearse Miller, CPNP
• Belinda Miller, LCSW
• Charles A. Miller, MD
• James Wesley Miller, MD

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.