Ruth Jampol, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005642L Issued in PA

Practice address

1111 Street Rd
Suite 312
Southampton, PA 18966-4250

Phone

(215) 355-2011

Fax

(215) 396-1886

NPI assigned

Aug 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Southampton Psychiatric Associates PC

  • Psychiatry Physician
  • Southampton, PA
  • NPI 1013926583

  Clinical

  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720192313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STREET RD",
            "address_2": "SUITE 312",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664250",
            "telephone_number": "215-355-2011",
            "fax_number": "215-396-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STREET RD",
            "address_2": "SUITE 312",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664250",
            "telephone_number": "215-355-2011",
            "fax_number": "215-396-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMPOL",
        "first_name": "RUTH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PERSONAL CHOICE",
            "identifier": "1661669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kim Renee Jetter, LPC

• Clinical Psychologist in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.