Emily Barr Ruth, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2804-57 Issued in WI

Legal business name

EMILY BARR RUTH, PSYD, LLC

Practice address

702 N Blackhawk Ave
Suite 209
Madison, WI 53705-3357

Phone

(608) 669-7981

Fax

(608) 441-3370

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Emily Barr Ruth, PSYDNPI 1285962712

Title

Owner/Member

Phone

(608) 669-7981

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Emily Barr Ruth, PSY.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1285962712
  NPD (past) Authorized official
• Tamar R Kelson, PH.D.

  • Psychologist
  • Madison, WI
  • NPI 1104981604
  NPD (past)
• David E. Lacocque, PSY.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1134100068
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1487091658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-669-7981",
            "fax_number": "608-441-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-669-7981",
            "fax_number": "608-441-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BARR RUTH, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BARR",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "608-669-7981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2804-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.