Individual provider Active NPI

Ruth E. Drasin, PH.D.

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1700916376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6929 Issued in MA
Practice address
1280 Massachusetts Ave
Suite 405
Cambridge, MA 02138-3840
Phone
(617) 441-8823
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6929 MA Primary

Addresses

Primary practice location

1280 Massachusetts Ave
Suite 405
Cambridge, MA 02138-3840

Mailing address

1280 Massachusetts Ave
Suite 405
Cambridge, MA 02138-3840
Phone (617) 441-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 6, 2019 through Aug 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6929MAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700916376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 MASSACHUSETTS AVE",
            "address_2": "SUITE 405",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383840",
            "telephone_number": "617-441-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MASSACHUSETTS AVE",
            "address_2": "SUITE 405",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383840",
            "telephone_number": "617-441-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASIN",
        "first_name": "RUTH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.