Individual provider Active NPI

Adam Forrest Ruggle, M.D.

  • Psychiatry Physician
  • Saint Cloud, MN
National Provider Identifier
1417367186
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A155672 Issued in CA
Practice address
1406 6TH Ave N
Saint Cloud, MN 56303
Phone
(320) 251-2700
Fax
(320) 229-5109
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R74333 AZ
Psychiatry Physician 2084P0800X 65371 MN
Psychiatry Physician 2084P0800X 33889 OK
Psychiatry Physician 2084P0800X A155672 CA Primary

Addresses

Primary practice location

1406 6TH Ave N
Saint Cloud, MN 56303

Mailing address

1406 6TH Ave N
Saint Cloud, MN 56303-1901
Phone (320) 251-2700

Other practice location 1

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 251-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190128003429 CA Practitioner - Psychiatry 3870849607 Reassigns benefits to 2 organizations
I20210510002341 TX Practitioner - Psychiatry 3870849607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Iowa, RJ & L Carver College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R74333AZMDPsychiatry Physician
A155672CAMDPsychiatry Physician
65371MNMDPsychiatry Physician
33889OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Clinical Current Accepting new patients
Health Alliance Socal, Inc Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
Tri-County Clinical CurrentSince Mar 1, 2021 Accepting new patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Feb 19, 2024 Accepting new patients
VP Anesthesia Partners, Inc PastSince Jan 29, 2023 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

Interoperability endpoints

  • Direct secure messaging: aruggle208933@direct.integrisok.com
  • Direct secure messaging: adam.ruggle.p1@direct.lbucc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1417367186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-251-2700",
            "fax_number": "320-229-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "56303",
            "country_code": "US",
            "telephone_number": "320-251-2700",
            "fax_number": "320-229-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGLE",
        "first_name": "ADAM",
        "middle_name": "FORREST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R74333",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "65371",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "33889",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A155672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.