Stefanie Lai Rushatakankovit, LEP, BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP3948 Issued in CA

Practice address

3848 W Carson St Ste 307
Torrance, CA 90503-6732

Phone

(424) 307-5007

NPI assigned

Oct 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Novi Minds Educational Psychology, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Torrance, CA
  • NPI 1750191870
  NPD Authorized official

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1447913447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036732",
            "telephone_number": "424-307-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036732",
            "telephone_number": "424-307-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHATAKANKOVIT",
        "first_name": "STEFANIE",
        "middle_name": "LAI",
        "credential": "LEP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15774",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3948",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakiya Lisette Ruiz, LCSW
• Tina Marie Ruiz
• Marshall David Rule, PT, DPT
• Deanna Rungo
• Justine M Ruotolo
• Russell Hosaka OD Inc a Professional Corporation
• Scott Alfonso Russell
• Kevin Russo
• Lyric Noelle Russo
• Allan M Rutenberg, RD

• Psychologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.