Daniel Egbert Ruckdeschel, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018242 Issued in PA

Practice address

128 Chestnut St Ste 303
Philadelphia, PA 19106-3024

Phone

(215) 399-4128

NPI assigned

Apr 19, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Turning Leaf Therapy, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1366994469
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1437646957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 SALINE ST APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172912",
            "telephone_number": "347-420-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CHESTNUT ST STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063024",
            "telephone_number": "215-399-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKDESCHEL",
        "first_name": "DANIEL",
        "middle_name": "EGBERT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Mae Cares Home Care
• Ruby Reflections Services
• Marianne Ruby, MD
• Charles Ruchalski, PHARMD
• Eduardo Ruchelli, M.D.
• John Charles Ruckdeschel, M.D.
• Katy Ruckdeschel
• Michael J Ruckenstein, MD
• Ariana Rucker, DO
• Leanna Rae Rucker, MD

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.