Brittany Moree Rudy, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1318 Issued in SC

Practice address

10 Davis Keats Dr
Greenville, SC 29607-6509

Phone

(864) 696-3740

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Tribe513, P.a.

  • Psychologist
  • Greenville, SC
  • NPI 1760016299

  Clinical Child & Adolescent

  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1356604466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVIS KEATS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076509",
            "telephone_number": "864-696-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DAVIS KEATS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076509",
            "telephone_number": "864-696-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "BRITTANY",
        "middle_name": "MOREE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "SC",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Levern Rucker, RN
• Michelle E Rucker, CRNA
• Virginia Ruth Rudd, RN, ANP, CRNA
• Ashley Ann Rudisill, D.D.S.
• Lawrence Edwin Rudisill Jr., MD
• Natasha Rudy, MS, CGC
• Brandi Lea Ruffo, APRN
• Jeffrey Michael Ruggieri, M.D.
• Andres C Ruiz Alicea, MA, MSW, LCSW
• Daniel Ruiz

• Clinical Child & Adolescent Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Child & Adolescent Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.