Ruth Ariella Dergicz, PHD
Individual provider Active NPI Mental Health Counselor · Piedmont, CA
NPI 1538367347 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1538367347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1250 Grand Ave
Piedmont, CA 94610-1002 - Phone
- (510) 655-7880
- Fax
- (510) 655-3379
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann Martin Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1250 Grand Ave
Piedmont, CA 94610-1002
Mailing address
1250 Grand Ave
Piedmont, CA 94610-1002
Phone (510) 655-7880
Other providers in Piedmont, CA
- Heather Paige Collins
- Jan Rose Corwin
- Bruce Cribley
- Jackelynn Dao
- Cynthia Haunani Dehay
- Karen Michele Devaney
- Raminder Singh Dosanjh
- Ann Charlotte Dowley
- East Bay Physical Therapy and Pilates
- Alisha Rivera Eastwood
All providers in Piedmont, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.