Kathleen Marie Rupertus, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

B1-0001139 Issued in DE

Practice address

501 Silverside Rd
Suite 145
Wilmington, DE 19809-1374

Phone

(302) 388-7515

Fax

(302) 798-7277

NPI assigned

Jun 26, 2007

Last updated

Aug 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Anxiety and Ocd Treatment Center, LLC

  • Cognitive & Behavioral Psychologist
  • Wilmington, DE
  • NPI 1689406738
  NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1578769519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 204",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "302-388-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD",
            "address_2": "SUITE 145",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091374",
            "telephone_number": "302-388-7515",
            "fax_number": "302-798-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERTUS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "DE",
            "license": "B1-0001139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Angela Ruggeri, CPNP
• William Rumancik, MD
• Rumjhum LLC (Heart 2 heart homecare)
• Edward Runquist III, MD
• Mitchell K Ruoff, PSY.D.
• Sarah Russel, RD
• Russell J Tibbetts DDS PA
• Bethany Ann Russell
• Charles Russell
• Courtney Nicole Russell, M.A., BCBA

• Cognitive & Behavioral Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Cognitive & Behavioral Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.