L E Ruckstuhl Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0462 Issued in NV

Legal business name

L E RUCKSTUHL INC

Practice address

5421 Kietzke LN
Suite 202
Reno, NV 89511-1088

Phone

(775) 787-7028

Fax

(877) 738-0730

NPI assigned

Aug 31, 2006

Last updated

Feb 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lionel Edward Ruckstuhl Jr., PH.D.

Title

President

Phone

(775) 787-7028

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1265544126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 KIETZKE LANE",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-787-7028",
            "fax_number": "877-738-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 KIETZKE LN",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-787-7028",
            "fax_number": "877-738-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L E RUCKSTUHL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "RUCKSTUHL",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-787-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502901",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.