Marc K Wruble, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1833 Issued in WI

Practice address

1250 E Business 151
Suite D
Platteville, WI 53818

Phone

(608) 348-4060

Fax

(608) 348-4191

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platteville Family Resource Center IncGroup PAC ID 0042295016, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Platteville Family Resource Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Platteville, WI
  • NPI 1477661692
  Medicare reassignment Care Compare group NPD Authorized official
• Platteville Family Resource Center

  • Mental Illness Community Based Residential Treatment Facility
  • Platteville, WI
  • NPI 1104207497
  NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427064237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS 151",
            "address_2": "SUITE D",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-4060",
            "fax_number": "608-348-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS 151",
            "address_2": "SUITE D",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-4060",
            "fax_number": "608-348-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUBLE",
        "first_name": "MARC",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39659900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Jane Williams, PSY.D
• Lucas Benjamin Wilson, DPT
• WKM Psychology Clinics, Inc.
• Thaddeus Mark Wontor, O.D.
• Amanda Wood
• James J Yurcek, MD
• Abigail Yurs, DDS
• Michelle Renee Zettle-Bruegger, LPC
• Ting Zhang, M.D.
• Ashlee Zwiefelhofer, DPT

• Clinical Psychologist in Platteville, WI
• Providers in Platteville, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.