Shelley Ruelas, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY24278 Issued in CA

Practice address

1601 Carmen Dr Ste 211
Camarillo, CA 93010-3103

Phone

(805) 517-0532

NPI assigned

Feb 24, 2023

Reactivated

May 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

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

• Torreyana Integrative Wellness

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1609563394
  NPD Authorized official

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1487353850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060D E AVENIDA DE LOS ARBOLES STE 533",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103103",
            "telephone_number": "805-517-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "deactivation_date": "2023-02-24",
        "reactivation_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RT Caldwell LLC
• Jasmine Rubalcava
• Andrea Marie Rubio, M.A., BCBA
• Rhonica Dolores Rubio
• Mariana Ruelas
• John Ruff
• Lynn Ruffino
• Kassandra Ruiz Camargo
• Alexandria Ruiz
• Enrique Ruiz

• Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.