Individual provider Active NPI

Jessica Adrianna Ruiz, PHD

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1477434926
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-2025-0108 Issued in NM
Practice address
1 San Rafael Ave NE
Albuquerque, NM 87122-1116
Phone
(505) 823-1600
Fax
(505) 823-1161
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-2025-0108 NM Primary

Addresses

Primary practice location

1 San Rafael Ave NE
Albuquerque, NM 87122-1116

Mailing address

1 San Rafael Ave NE
Albuquerque, NM 87122-1116
Phone (505) 823-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20260114002856 NM Practitioner - Clinical Psychologist 1759867203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradford C. RichardsGroup PAC ID 0446397855, 4 clinicians

Practice addresses (Care Compare)

1 San Rafael Ave NE
Cognitive Behavioral Institute
Albuquerque, NM 87122-1116
Phone (505) 823-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-2025-0108NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford C. Richards CurrentSince Sep 1, 2025 Accepting new patients

Locations

1 San Rafael Ave NE
Albuquerque, NM 87122
Phone (505) 823-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1477434926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAN RAFAEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221116",
            "telephone_number": "505-823-1600",
            "fax_number": "505-823-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAN RAFAEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221116",
            "telephone_number": "505-823-1600",
            "fax_number": "505-823-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JESSICA",
        "middle_name": "ADRIANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY-2025-0108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.