Rhyver Rudick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2809 Issued in OR

Practice address

2609 17TH Ave NW
Olympia, WA 98502-4172

Phone

(530) 864-5062

NPI assigned

Nov 5, 2015

Last updated

Mar 7, 2023By 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 2

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

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568835049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 17TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 17TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024172",
            "telephone_number": "530-864-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDICK",
        "first_name": "RHYVER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Rubideaux, MD
• Evelyn Arias Rubin, M.D.
• Noah Rubinstein, MA, LMHC
• Kade Rucker
• Benjamin Danelski Ruder, D.D.S.
• Jayme Marie Rudloff, DNP, FNP-C, FNP-BC
• Lisa Ruether, RN
• Kristin Danielle Ruiz
• John William Rummel, MA
• Shauna Rumsey, MSW, MHP, LICSW

• Clinical Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.