Individual provider Active NPI

Martha Ruiz-Shank, PSYD

  • Psychologist
  • Temecula, CA
National Provider Identifier
1760668347
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
27403 Ynez Rd Ste 206
Temecula, CA 92591-4616
Phone
(805) 284-5337
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

27403 Ynez Rd Ste 206
Temecula, CA 92591-4616

Mailing address

PO Box 481
Sun City, CA 92586-0481
Phone (805) 284-5337

Other practice location 1

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3144

Other practice location 2

1706 Plum Ln Ste 110
Redlands, CA 92374-4578
Phone (805) 284-5337

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nest Counseling and Psychological Services Psychologist Current Accepting new patients

Locations

27403 Ynez Rd
Ste 206
Temecula, CA 92591
Phone (805) 284-5337

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.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1760668347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925860481",
            "telephone_number": "805-284-5337",
            "fax_number": "909-580-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 206",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914616",
            "telephone_number": "805-284-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-3144",
            "fax_number": "909-580-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Plum Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744578",
            "country_code": "US",
            "telephone_number": "805-284-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-SHANK",
        "first_name": "MARTHA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.