Cedric Chauncey Rucker, M.A.,M.DIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

61 Waldeck St
Dorchester, MA 02124-1318

Phone

(757) 553-7547

NPI assigned

Apr 30, 2014

Sex

Male

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

Credentials

Master of Arts

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1598175457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WALDECK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021241318",
            "telephone_number": "757-553-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WALDECK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021241318",
            "telephone_number": "757-553-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "CEDRIC",
        "middle_name": "CHAUNCEY",
        "name_prefix": "Mr.",
        "credential": "M.A.,M.DIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxbury Multi Service Center
• Roxbury Multi-Service Center
• RTW Essential Wellness LLC
• Rachel Rubin
• Bernadette Rucker, M.ED.
• William D Ruffin
• Clara Ruiz
• Natashia Yolanda Ruiz
• Omar Alberto Ruiz, LMFT
• Jean Russell

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.