Amanda Ruppert

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166001102 Issued in IL

Practice address

1625 Bethany Rd
Sycamore, IL 60178-3124

Phone

(779) 777-7335

Fax

(815) 758-7441

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Services in Health Psychology, LTDGroup PAC ID 4981736550, 19 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Services in Health Psychology, LTD

  dba LivingRite, The Center for Behavioral Health, LTD

  • Clinical Psychologist
  • Sycamore, IL
  • NPI 1306078894
  Medicare reassignment Care Compare group NPD
• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1720523194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783124",
            "telephone_number": "779-777-7335",
            "fax_number": "815-758-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783124",
            "telephone_number": "779-777-7335",
            "fax_number": "815-758-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lynn Wagner Ross, MSN, APRN, FNP-BC
• Allison Rothamer, SLP-A, A.A.S.
• Courtney Rowell II
• Catherine A Ruetten, MD
• Timothy J Ruetten, MD
• Madison Russell
• Amanda Kay Ryan
• Catherine Ryan, L.C.P.C.
• Courtney Allene Rzab
• Sageful Counseling & Consulting PLLC

• Marriage & Family Therapist in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.