Ruth H. Tallakson, PHD, LP, LTD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0208 Issued in MN

Legal business name

RUTH H. TALLAKSON, PHD, LP, LTD.

Practice address

91 Snelling Ave N
Suite 220
Saint Paul, MN 55104-6753

Phone

(651) 647-1001

Fax

(651) 647-6111

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ruth Tallakson, PHD, LPNPI 1962590513

Title

President

Phone

(651) 647-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruth Tallakson, PH.D., L.P.

  • Psychologist
  • Saint Paul, MN
  • NPI 1962590513
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548358104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046753",
            "telephone_number": "651-647-1001",
            "fax_number": "651-647-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046753",
            "telephone_number": "651-647-1001",
            "fax_number": "651-647-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH H. TALLAKSON, PHD, LP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALLAKSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-647-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6H601TA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "25094",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Russell
• Stacy Russell, LPCC
• Jeffrey Harold Russum, MD
• Peter Karl Rusterholz, M.D.
• Cori L Rutchick, DC
• Ruth Markowitz Ma LP
• Brenna Aden Rutherford, PAC
• Mary E Rutherford, DC
• Sheashah Rutherford, RN
• Briana Rutledge

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.