Amy Ruzic, MA, BC-DMT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006037 Issued in PA

Practice address

100 Chetwynd Dr
Bryn Mawr, PA 19010-1453

Phone

(610) 642-1144

NPI assigned

May 31, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1659010650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HAMPSHIRE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261306",
            "telephone_number": "630-240-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHETWYND DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101453",
            "telephone_number": "610-642-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZIC",
        "first_name": "AMY",
        "credential": "MA, BC-DMT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": "BC-DMT-1053",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "clients  and clinicians can securely share information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 Chetwynd Dr",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190101453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne Elizabeth Rota Matthews, MA, MED, PSYD
• Denise Roy, CNM
• Amy Lynn McDevitt Ruggiero, LCSW, JD
• Donna L Rugh, MSN, RN-BC,CHPN
• Lindsay J Rush, PT, DPT
• Edward F Ryan Jr., D.O.
• Linda A Ryan, MD
• Margaret Ting Ryan, M.D.
• Sean V Ryan, MD
• Elizabeth Sabatino, DPT

• Professional Counselor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.