Active NPI
Anne C Ruane, PSYD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1316286099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25507
- Practice address
- 2898 Rowena Ave
Suite 205
Los Angeles, CA 90039-2020 - Phone
- (323) 212-4799
- Fax
- (323) 212-4799
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 25507 | CA | Primary |
Addresses
Primary practice location
2898 Rowena Ave
Suite 205
Los Angeles, CA 90039-2020
Mailing address
2898 Rowena Ave Ste 205
Los Angeles, CA 90039
Phone (323) 212-4799
Other names 1
- Dr. Anne C Goldhorn Ruane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2020 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25507 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon K. Carter Psychologist, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1417572694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1316286099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2898 ROWENA AVE STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90039",
"telephone_number": "323-212-4799",
"fax_number": "323-212-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2898 ROWENA AVE",
"address_2": "SUITE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392020",
"telephone_number": "323-212-4799",
"fax_number": "323-212-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANE",
"first_name": "ANNE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "GOLDHORN RUANE",
"middle_name": "C",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.