Nancy G. Rueschenberg, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY10198 Issued in CA

Practice address

2386 Playa Vista Place
Avila Beach, CA 93424-2386

Phone

(805) 595-7037

Fax

(805) 595-2703

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1467781609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 PLAYA VISTA PLACE",
            "address_2": "P. O. BOX 2386",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934242386",
            "telephone_number": "805-595-7037",
            "fax_number": "805-595-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 PLAYA VISTA PLACE",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934242386",
            "telephone_number": "805-595-7037",
            "fax_number": "805-595-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUESCHENBERG",
        "first_name": "NANCY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10198",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY10198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Mees, L.AC. DAOM
• Michael Harris LMFT
• Christel Leona O'Rourke, CMT
• Pacific Coast Medical Transport, LLC
• Erich Rueschenberg, PH.D.
• Sedghi Momentum Health Chiropractic
• Shirley L. Stack, PH.D.
• Timothy H. Jones, M.D., Inc.
• Holly Whall, M.S.W., M.P.H., LCSW
• Yelena Lapidus MD Inc

• Forensic Psychologist in Avila Beach, CA
• Providers in Avila Beach, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.