Marguerite Ruppenicker LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

003193 Issued in CT

Legal business name

MARGUERITE RUPPENICKER LLC

Practice address

49 Sherwood Ter
Old Saybrook, CT 06475-2123

Phone

(860) 388-9882

Fax

(860) 388-9882

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marguerite R. a. Ruppenicker, PH.D.NPI 1053760579

Title

Managing Member

Phone

(860) 388-9882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marguerite Ruppenicker, PH. D.

  • Clinical Psychologist
  • Old Saybrook, CT
  • NPI 1053760579
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1477568806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064980645",
            "telephone_number": "860-388-9882",
            "fax_number": "860-388-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SHERWOOD TER",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752123",
            "telephone_number": "860-388-9882",
            "fax_number": "860-388-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITE RUPPENICKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "RUPPENICKER",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "R. A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-388-9882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CT",
            "license": "003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Dehart Lydiksen, LMFT-A
• George L Lynn, PSYD
• David L Macdonald, O.D.
• Christine Major
• Kathleen Malcolm
• Courtney Mariita, LCSW
• Jillian Marmaras, MS ED, BCBA
• Debra Ellen Mashberg, PH.D.
• Maria Masotta, PSY.D.
• Artem Matatov

• Counseling Psychologist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Counseling Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.