Active NPI
Casey Marlene-Cauble Rusca, PH.D.
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1376148882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30825
- Practice address
- 7172 E Harvard Ave
Fresno, CA 93737-0067 - Phone
- (559) 978-9087
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY30825 | CA | |
| Clinical Psychologist | 103TC0700X | PSY30825 | CA | Primary |
Addresses
Primary practice location
7172 E Harvard Ave
Fresno, CA 93737-0067
Mailing address
21633 Avenue 24
Chowchilla, CA 93610-9650
Phone (559) 665-6100
Other practice location 1
21633 Avenue 24
Chowchilla, CA 93610-9650
Phone (559) 665-6100 ext. 5117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Fresno, CA 93737
Phone (858) 481-8827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30825 | CA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Department of Corrections &Rehabilitation | Past | Accepting new patients | |
| State of California | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- San Diego, CA
- NPI 1629875273
-
- Rural Health Clinic/Center
- Chowchilla, CA
- NPI 1073710398
-
dba California Correctional Health Care Services
- Prison Health Clinic/Center
- Chowchilla, CA
- NPI 1316322647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1376148882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21633 AVENUE 24",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936109650",
"telephone_number": "559-665-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7172 E HARVARD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937370067",
"telephone_number": "559-978-9087"
}
],
"practiceLocations": [
{
"address_1": "21633 Avenue 24",
"address_purpose": "LOCATION",
"city": "Chowchilla",
"state": "CA",
"postal_code": "936109650",
"country_code": "US",
"telephone_number": "559-665-6100 x5117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSCA",
"first_name": "CASEY",
"middle_name": "MARLENE-CAUBLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY30825",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.