Ruth Elaine Anderson, PH.D.
Individual provider Active NPI Psychologist · Wakefield, RI
NPI 1740323567 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740323567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS314 (RI)
- Practice address
- 24 Salt Pond Rd
B-4
Wakefield, RI 02879-4314 - Phone
- (401) 783-1310
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151207002321 | RI | Practitioner - Clinical Psychologist | 0840590253 | Practice locations: Wakefield, RI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS314 | RI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS314 | RI | Yes |
Addresses
Primary practice location
24 Salt Pond Rd
B-4
Wakefield, RI 02879-4314
Mailing address
17 Nichols Rd
Kingston, RI 02881-1803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9471-9 | Other | RI | BLUE CROSS |
| 200276 | Other | RI | BLUE CHIP |
| RA60074 | Other | RI | MEDICAL ASSISTANCE |
NPI Registry JSON
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740323567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 NICHOLS RD",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028811803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD",
"address_2": "B-4",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794314",
"telephone_number": "401-783-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RUTH",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "9471-9",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "200276",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "RA60074",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
- Amanecer Counseling Services LLC
- Jamiel J Ambrad
- Anchor Physical Therapy LLC
- Gregory Andersen Sr.
- Malinda Bridgette Anderson
- Lindsay C Andruchuve
- Thomas P Arcangeli
- Adam Armisto
- Roger Ashley
- James William Assif
All providers in Wakefield, RI · Psychologist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.