Organization Active NPI

Ruth Wittersgreen PLC

  • Clinical Psychologist
  • Staunton, VA
National Provider Identifier
1699009613
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003439 Issued in VA
Legal business name
RUTH WITTERSGREEN PLC
Practice address
828 N Augusta St
Staunton, VA 24401-3211
Phone
(540) 887-6538
Fax
(202) 333-2525
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Ruth Wittersgreen, PHD
Title
Owner
Phone
(540) 887-6538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810003439 VA Primary

Addresses

Primary practice location

828 N Augusta St
Staunton, VA 24401-3211

Mailing address

202 Hendren Ave
Staunton, VA 24401-2847
Phone (540) 887-6538

Other identifiers 2

IdentifierTypeStateIssuer
374723OtherVAANTHEM
1255383618MedicaidVA

National Provider Directory

National Provider Directory

Locations

828 N Augusta St
Staunton, VA 24401
Phone (540) 324-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1699009613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HENDREN AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012847",
            "telephone_number": "540-887-6538",
            "fax_number": "202-333-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N AUGUSTA ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013211",
            "telephone_number": "540-887-6538",
            "fax_number": "202-333-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH WITTERSGREEN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "WITTERSGREEN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-887-6538",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "374723",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255383618",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.