Ruth M Mathews, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0177 Issued in MN

Practice address

66 E 3Rd St
201
Winona, MN 55987-3478

Phone

(507) 452-7292

Fax

(507) 457-9887

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Family & Children's Center, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Winona, MN
  • NPI 1306169370
  NPD (past)
• Family Service of Winona

  • Psychologist
  • Winona, MN
  • NPI 1710986989
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1326100645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014200",
            "telephone_number": "608-785-0001",
            "fax_number": "608-785-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E 3RD ST",
            "address_2": "201",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873478",
            "telephone_number": "507-452-7292",
            "fax_number": "507-457-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "938548700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117761",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN",
            "identifier": "974T9MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP17766",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "731291012003",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Martinka, MSW, LICSW
• Shelby Marx, MSW, LICSW
• Kate Masberg
• Arianna Mason
• Mini Rose Mason, PHARMACIST
• Heidi M M Mathson, LGSW
• Miranda Kathleen Maurer
• Lindsay A MC Clead, MS
• Sierra McAuliffe, MS
• Thomas W McCasland

• Clinical Psychologist in Winona, MN
• Providers in Winona, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.