Individual provider Active NPI

Alan Ruskin, PH.D.

  • Psychoanalysis Psychologist
  • San Francisco, CA
National Provider Identifier
1386860369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
PSY4960 Issued in CA
Practice address
3354 Sacramento St
Suite F
San Francisco, CA 94118-1985
Phone
(415) 921-2269
Fax
(415) 381-8336
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X PSY4960 CA Primary

Addresses

Primary practice location

3354 Sacramento St
Suite F
San Francisco, CA 94118-1985

Mailing address

480 Live Oak Dr
Mill Valley, CA 94941-3975
Phone (415) 921-2269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY4960CAMDPsychoanalysis Psychologist
4960CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386860369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LIVE OAK DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413975",
            "telephone_number": "415-921-2269",
            "fax_number": "415-381-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 SACRAMENTO ST",
            "address_2": "SUITE F",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181985",
            "telephone_number": "415-921-2269",
            "fax_number": "415-381-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSKIN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.