Lanique G Ruffin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31878 Issued in CA

Practice address

1968 S Coast Hwy Ste 1188
Laguna Beach, CA 92651-3681

Phone

(949) 371-9990

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• The Whole Village, LLC

  • Clinical Psychologist
  • Laguna Beach, CA
  • NPI 1952910390
  NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1740612043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893292",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925893292",
            "telephone_number": "951-581-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 1188",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-371-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Wilshire Blvd",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900102501",
            "country_code": "US",
            "telephone_number": "213-381-1250",
            "fax_number": "213-383-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "LANIQUE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31878",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Rosa, PPS
• Dana Rosen, D.C.
• Marianne Ross, PH.D.
• Jorge Rubal, MD, MBA
• Steven Michael Rudy, M.D.
• David A Ruskin, M.D.
• Lidija Ruskova, RPH
• Shien-Lin Sun Saber, PA-C
• Kimberly Sage, PSY D INTERN
• Mohsen Sakhaii, M.D.

• Clinical Psychologist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.