Ronald Rutkowski, MALLP,BSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6301007294/680201746 Issued in MI

Practice address

22900 Remick Dr
Clinton TWP, MI 48036-2732

Phone

(586) 783-4802

Fax

(586) 783-4805

NPI assigned

Sep 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Bio-Med Behavioral Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Roseville, MI
  • NPI 1417099417

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1407042989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22900 REMICK DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362732",
            "telephone_number": "586-783-4802",
            "fax_number": "586-783-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 REMICK DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362732",
            "telephone_number": "586-783-4802",
            "fax_number": "586-783-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "RONALD",
        "credential": "MALLP,BSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301007294/680201746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Ruddy, DDS
• Sandra Ruman, OTRL, CLT
• Madeline Ruszala
• Danielle M. Ruthven, PTA
• Aubrey Elizabeth Rutkowski, LMSW
• RX Mart Pharmacy LLC
• S L Husain Hamzavi MD PC
• S&D Home Care LLC
• Jonathan Firas Sabbagh
• Steven Sadoski

• Addiction (Substance Use Disorder) Counselor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.