Active NPI
Rudy Ruderman, LMFT
- Marriage & Family Therapist
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125808
- Practice address
- 615 State St
Santa Barbara, CA 93101-3301 - Phone
- (805) 312-8078
- NPI assigned
- Sep 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Marriage & Family Therapist | 106H00000X | 125808 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
615 State St
Santa Barbara, CA 93101-3301
Mailing address
615 State St
Santa Barbara, CA 93101-3301
Phone (312) 888-1083
Other practice location 1
1023 Burlington Ave
Western Springs, IL 60558-1516
Phone (708) 745-5277
Other practice location 2
1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 366-4040
Other practice location 3
5266 Hollister Ave Ste 321
Goleta, CA 93111-2083
Phone (805) 312-8078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125808 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychotherapy & Integrative Health, a Marriage & Family the | Marriage & Family Therapist | Current | Accepting new patients |
Locations
922 State St
Ste A
Santa Barbara, CA 93101
Phone (805) 312-8078
615 State St
Santa Barbara, CA 93101
Phone (805) 312-8078
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Santa Barbara, CA
- NPI 1023736782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1750830592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013301",
"telephone_number": "312-888-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013301",
"telephone_number": "805-312-8078"
}
],
"practiceLocations": [
{
"address_1": "1023 Burlington Ave",
"address_purpose": "LOCATION",
"city": "Western Springs",
"state": "IL",
"postal_code": "605581516",
"country_code": "US",
"telephone_number": "708-745-5277",
"fax_number": "708-784-9451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1722 S Lewis Rd",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930128520",
"country_code": "US",
"telephone_number": "805-366-4040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5266 Hollister Ave Ste 321",
"address_purpose": "LOCATION",
"city": "Goleta",
"state": "CA",
"postal_code": "931112083",
"country_code": "US",
"telephone_number": "805-312-8078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDERMAN",
"first_name": "RUDY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-21",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125808",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.