Tiffany Candyce Rush-Wilson, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0003341 Issued in OH

Practice address

29525 Chagrin Blvd
313
Beachwood, OH 44122-4644

Phone

(216) 316-8265

NPI assigned

Aug 28, 2013

Sex

Female

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1578997441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "313",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-316-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD",
            "address_2": "313",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224644",
            "telephone_number": "216-316-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH-WILSON",
        "first_name": "TIFFANY",
        "middle_name": "CANDYCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003341",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tory Ruffin
• Marco Antonio Ruiz Jimenez
• Kelly Runkel, PT
• Jessie Ann Rupp, PHARMD, MS
• Christopher C Rupprecht, PA-C
• George Rushing
• Mari Russell
• Stephanie Christina Russell, CNP
• Hannah Rust, PA-C
• Susan J Ruzich, CNP

• Professional Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.