Active NPI
Elizabeth Ruhl, PSYD
- Psychologist
- San Francisco, CA
National Provider Identifier
1679829733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY31527
- Practice address
- 3609 Sacramento St
San Francisco, CA 94118-1709 - Phone
- (415) 237-0377
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | PSY31527 | CA | Primary |
Addresses
Primary practice location
3609 Sacramento St
San Francisco, CA 94118-1709
Mailing address
PO Box 591725
San Francisco, CA 94159-1725
Other practice location 1
1440 Broadway
Suite 610
Oakland, CA 94612-2041
Phone (510) 628-9065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2025 through Oct 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31527 | CA | MD | Psychologist |
| 31527 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1679829733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591725",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941591725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181709",
"telephone_number": "415-237-0377"
}
],
"practiceLocations": [
{
"address_1": "1440 Broadway",
"address_2": "Suite 610",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946122041",
"country_code": "US",
"telephone_number": "510-628-9065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUHL",
"first_name": "ELIZABETH",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.