Kelli Ann Rule, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30541 Issued in CA

Practice address

176 Holston Dr
Lancaster, CA 93535-4531

Phone

(213) 247-0594

NPI assigned

Aug 19, 2014

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Learning Dynamics, Inc.

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
  • NPI 1497091045
  NPD (past)
• Los Angeles County Department of Mental Health

  dba Specialized Foster Care Lancaster

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, CA
  • NPI 1629082987
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1538568134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 COCHRAN ST # 240",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652780",
            "telephone_number": "805-624-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 HOLSTON DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354531",
            "telephone_number": "213-247-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULE",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "30541",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Ruiz
• Racquel Emily Ruiz
• Renee Ruiz, RN
• Ruben Daniel Ruiz Sr.
• Uriah Ruiz
• Rulon D Beesley
• Rulon D. Beesley, M.D., P.C.
• Latisa Rush
• Keosha Russell
• Raquel Russell

• Clinical Psychologist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.