Individual provider Active NPI

Kelli Rugless, PSY.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1477920478
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05585 Issued in MD
Practice address
8500 Wilshire Blvd Ste 700C
Beverly Hills, CA 90211-3105
Phone
(310) 954-2002
NPI assigned
Aug 25, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 05585 MD Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 700C
Beverly Hills, CA 90211-3105

Mailing address

8500 Wilshire Blvd Ste 700C
Beverly Hills, CA 90211-3105
Phone (310) 954-2002

Other practice location 1

10400 Swift Stream Pl
#204
Columbia, MD 21044-4593
Phone (626) 354-5212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05585MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Psychology Corporation CurrentSince Aug 30, 2020 Accepting new patients

Locations

8500 Wilshire Blvd
Ste 700C
Beverly Hills, CA 90211
Phone (310) 954-2002

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477920478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 700C",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113105",
            "telephone_number": "310-954-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 700C",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113105",
            "telephone_number": "310-954-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Swift Stream Pl",
            "address_2": "#204",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210444593",
            "country_code": "US",
            "telephone_number": "626-354-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGLESS",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-09-11",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.