Individual provider Active NPI

Maureen Smith Ruffell, M.D.

  • Psychiatry Physician
  • Palo Alto, CA
National Provider Identifier
1629129895
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G83456 Issued in CA
Practice address
550 Hamilton Ave
Suite 110
Palo Alto, CA 94301-2010
Phone
(650) 329-8834
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G83456 CA Primary
Psychiatry Physician 2084P0800X 71757 MA

Addresses

Primary practice location

550 Hamilton Ave
Suite 110
Palo Alto, CA 94301-2010

Mailing address

550 Hamilton Ave
Suite 110
Palo Alto, CA 94301-2010
Phone (650) 329-8834

Other identifiers 1

IdentifierTypeStateIssuer
077418OtherCAVALUE OPTIONS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 9, 2014 through Mar 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83456CAMDPharmacist
G83456CAMDPsychiatry Physician
71757MAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1629129895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HAMILTON AVE",
            "address_2": "SUITE 110",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012010",
            "telephone_number": "650-329-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HAMILTON AVE",
            "address_2": "SUITE 110",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012010",
            "telephone_number": "650-329-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFELL",
        "first_name": "MAUREEN",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G83456",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "71757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "077418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.