Rodney W Ruppel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21208 Issued in TX

Practice address

3560 Delaware St
Suite 502
Beaumont, TX 77706-3067

Phone

(409) 898-8497

Fax

(409) 899-9795

NPI assigned

Jun 19, 2006

Last updated

Feb 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• C & M Geriatric Services LLP

  • Psychologist
  • Nederland, TX
  • NPI 1134177967
  NPD (past)
• Vision Consulting, Inc.

  • Psychologist
  • Jasper, TX
  • NPI 1386692119
  NPD (past)
• Vision Psychological Services PC

  • Psychologist
  • Nederland, TX
  • NPI 1740238583
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1497790828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 502",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-898-8497",
            "fax_number": "409-899-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 502",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-898-8497",
            "fax_number": "409-899-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPEL",
        "first_name": "RODNEY",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035385602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RPH Partners, LLC (Prescription Mart)
• RPH Partners, LLC (Prescription Mart)
• RPK Anesthesia PA. (Beaumont Pain Consultants)
• Ruby L Holloway, M.D.P.a
• Jesus Ruiz
• Matthew Lindon Rushing, D.D.S., M.S.D.
• Robert Rushing
• Xandria Maria Rusiana-Tran, FNP-C
• Russell Perry, MD, PA (Family Allergy & Asthma Center)
• RW Nursing Staffing Agency (GRW's Home Healthcare Services)

• Clinical Psychologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.