Organization Active NPI

Ruby Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1295564425
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RUBY PSYCHIATRIC SERVICES, PLLC
Practice address
125 Lasalle Rd Ste 300
West Hartford, CT 06107-2311
Phone
(860) 494-5884
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
James Granville Martin, ESQ
Title
General Counsel
Phone
(860) 494-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

125 Lasalle Rd Ste 300
West Hartford, CT 06107-2311

Mailing address

225 Boston Post Rd Unit 38
East Lyme, CT 06333-7002
Phone (860) 494-5884

Other practice location 1

225 Boston Post Rd Unit 38
East Lyme, CT 06333-7002
Phone (860) 494-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20241011002753 CT Part B Supplier - Clinic/Group Practice 2860924123 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, CT; West Hartford, CT
O20241017003190 NY Part B Supplier - Clinic/Group Practice 2860924123 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20260512000602 MA Part B Supplier - Clinic/Group Practice 2860924123 Receives reassigned benefits from 1 practitioner
Practice locations: Great Barrington, MA

National Provider Directory

National Provider Directory

Locations

225 Boston Post Rd
Unit 38
East Lyme, CT 06333
Phone (860) 494-5884

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

168 Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 637-8921

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1295564425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BOSTON POST RD UNIT 38",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063337002",
            "telephone_number": "860-494-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LASALLE RD STE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072311",
            "telephone_number": "860-494-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Boston Post Rd Unit 38",
            "address_purpose": "LOCATION",
            "city": "East Lyme",
            "state": "CT",
            "postal_code": "063337002",
            "country_code": "US",
            "telephone_number": "860-494-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUBY PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GRANVILLE",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "860-494-5884",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.