Jessica Somerville Ruffolo, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS0000896 Issued in RI

Practice address

875 Centerville Rd
Unit 2
Warwick, RI 02886-4381

Phone

(401) 529-9921

Fax

(401) 615-7544

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1699708677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 CENTERVILLE RD",
            "address_2": "UNIT 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864381",
            "telephone_number": "401-529-9921",
            "fax_number": "401-615-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CENTERVILLE RD",
            "address_2": "UNIT 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864381",
            "telephone_number": "401-529-9921",
            "fax_number": "401-615-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFOLO",
        "first_name": "JESSICA",
        "middle_name": "SOMERVILLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS0000896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "29875-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "412854",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Rubin, AU.D
• Jonah Edward Ruddy, DO
• Kenneth J Rudman, DMD
• Nadia Katrina Rudman
• Angela Susan Rudner, LCSWC
• Cynthia Ruggiero, APRNCNP
• Molly I Ruhan
• Derek Ruiz, PHARMD
• Tabatha Ruiz, OT
• Veronica M Ruiz, DPT

• Clinical Neuropsychologist in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Neuropsychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.