NPIMap

Organization Active NPI

C Allen Ruyle Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1710366802
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
C ALLEN RUYLE LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
333 Olive St
San Diego, CA 92103-6215
Phone
(619) 213-3000
Fax
(866) 302-7589
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Mr. C. Allen Ruyle, LCSW, CGP
Title
President
Phone
(619) 213-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333 Olive St
San Diego, CA 92103-6215

Mailing address

333 Olive St
San Diego, CA 92103-6215
Phone (619) 213-3000

Other names 1

  • Well Being Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

333 Olive St
San Diego, CA 92103
Phone (619) 213-3000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1710366802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OLIVE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036215",
            "telephone_number": "619-213-3000",
            "fax_number": "866-302-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLIVE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036215",
            "telephone_number": "619-213-3000",
            "fax_number": "866-302-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C ALLEN RUYLE LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "RUYLE",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-213-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CGP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Being Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.