Active NPI
Richard M Rutz, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP-08954
- Practice address
- 4075 Old Western Row Rd
Mason, OH 45040-3104 - Phone
- (513) 536-4673
- Fax
- (513) 536-0609
- NPI assigned
- May 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP-08954 | OH | Primary |
Addresses
Primary practice location
4075 Old Western Row Rd
Mason, OH 45040-3104
Mailing address
4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423363 | Other | OH | MHN |
| 000000566845 | Other | OH | ANTHEM |
| 2825518 | Medicaid | OH | |
| 311175717239 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4015 Executive Park Dr
Suite 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-08954 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsych Center of Greater Cincinnati LLC | Current | Accepting new patients | |
| Neuropsych Center of Greater Cincinnati LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients | |
| Neuropsych Center of Greater Cincinnati | Past | Accepting new patients |
Locations
10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488
130 Wellington Pl
Cincinnati, OH 45219
Phone (513) 357-4602
4015 Executive Park Dr
Ste 250
Cincinnati, OH 45241
Phone (513) 563-0488
431 Ohio Pike
Ste 103
Cincinnati, OH 45255
Phone (513) 563-0488
4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
8806 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 755-1777
Organizations & group practices 4
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.
-
- Clinical Neuropsychologist
- Cincinnati, OH
- NPI 1801241237
Psychiatric/Mental Health
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1164238150
-
- Clinical Psychologist
- Fort Thomas, KY
- NPI 1790222065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1760659692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-4673",
"fax_number": "513-536-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-4673",
"fax_number": "513-536-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTZ",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "NP-08954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "423363",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000566845",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2825518",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311175717239",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.