Deborah Rene Ruyman, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18875 Issued in MN

Practice address

904 6TH Avenue CT NE
Isanti, MN 55040-3208

Phone

(763) 444-7556

Fax

(763) 434-0192

NPI assigned

Nov 8, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunrise Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Otsego, MN
  • NPI 1790309813

  MN

  Medicare reassignment NPD
• Therapy Associates, Inc.

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1366993412
  NPD (past)

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1699217604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-7556",
            "fax_number": "763-434-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-7556",
            "fax_number": "763-434-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUYMAN",
        "first_name": "DEBORAH",
        "middle_name": "RENE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Rhine, PHD,
• Daniel T Rochel
• Roots Speech Therapy, LLC
• Stephanie Elizabeth Ruppert, LMFT
• Sarah Joy Ruther, D.C.
• Rebecca Scheidecker
• Kathryn L Schesso, LMFT
• Lisa Schindlbeck, PHARM.D., M.B.A.
• Madelyn Rose Schwieters, DDS
• Serenity Circle Counseling, LLC

• Clinical Social Worker in Isanti, MN
• Providers in Isanti, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.