Active NPI
Martha Ruiz-Shank, PSYD
- Psychologist
- Temecula, CA
National Provider Identifier
1760668347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Psychologist
- Temecula, CA
- NPI 1063078350
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.