Active NPI
Jose David Ruiz, M.D
- Psychiatry Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME85967
- Practice address
- 10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434 - Phone
- (833) 769-3524
- Fax
- (407) 412-9170
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME85967 | FL | Primary |
Addresses
Primary practice location
10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
5979 Vineland Rd
sutie 109
Orlando, FL 32819-7800
Phone (407) 647-1781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10967 Lake Underhill Rd
Suite 113
Orlando, FL 32825-4434
Phone (407) 537-9451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85967 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Psychiatry | Current | Accepting new patients |
| Orlando Behahavioral Healthcare | Past | Accepting new patients | |
| Orlando Behavioral Healthcare | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322
8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646
930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441
10967 Lake Underhill Rd
Ste 113
Orlando, FL 32825
Phone (407) 537-9451
1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- fbh.joseruiz@141363.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Maitland, FL
- NPI 1215016597
-
- Counselor
- Orlando, FL
- NPI 1396161121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1285739060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10967 LAKE UNDERHILL RD STE 113",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254434",
"telephone_number": "833-769-3524",
"fax_number": "407-412-9170"
}
],
"practiceLocations": [
{
"address_1": "5979 Vineland Rd",
"address_2": "sutie 109",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328197800",
"country_code": "US",
"telephone_number": "407-647-1781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"middle_name": "DAVID",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME85967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.