Active NPI
Pamela Kay Ruffer, PSY.D.
- Clinical Psychologist
- Mount Prospect, IL
National Provider Identifier
1356599336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007701
- Practice address
- 200 E Evergreen Ave Ste 130
Mount Prospect, IL 60056-3294 - Phone
- (630) 539-0217
- Fax
- (847) 749-1438
- NPI assigned
- Sep 3, 2008
- 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 | 071007701 | IL | Primary |
Addresses
Primary practice location
200 E Evergreen Ave Ste 130
Mount Prospect, IL 60056-3294
Mailing address
200 E Evergreen Ave Ste 130
Mount Prospect, IL 60056-3294
Phone (630) 539-0217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007701 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1356599336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E EVERGREEN AVE STE 130",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563294",
"telephone_number": "630-539-0217",
"fax_number": "847-749-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E EVERGREEN AVE STE 130",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563294",
"telephone_number": "630-539-0217",
"fax_number": "847-749-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFER",
"first_name": "PAMELA",
"middle_name": "KAY",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.