Active NPI
George L Ruffin, PHD LPC LMFT LCDC
- Psychoanalysis Psychologist
- Richland Hills, TX
National Provider Identifier
1770787202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 7513
- Practice address
- 6900 Boulevard 26
Richland Hills, TX 76118 - Phone
- (817) 429-4769
- Fax
- (817) 457-7906
- NPI assigned
- Jun 11, 2007
- Last updated
- Oct 10, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2741 | TX | |
| Psychoanalysis Psychologist | 103TP0814X | 7513 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 2332 | TX |
Addresses
Primary practice location
6900 Boulevard 26
Richland Hills, TX 76118
Mailing address
5436 Randol Dr
North Richland Hills, TX 76180-6822
Phone (817) 657-9326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029025601 | Medicaid | TX |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7513 | TX | MD | Psychoanalysis Psychologist |
| 2332 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1770787202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5436 RANDOL DR",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806822",
"telephone_number": "817-657-9326",
"fax_number": "817-281-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 BOULEVARD 26",
"city": "RICHLAND HILLS",
"state": "TX",
"postal_code": "76118",
"telephone_number": "817-429-4769",
"fax_number": "817-457-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "GEORGE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD LPC LMFT LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "2741",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "TX",
"license": "7513",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "2332",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029025601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland Hills, TX
- Pedro Heberto Ramirez, MD
- Smita S Ranade, MD
- Keokuk Laura Randall
- Richland Hills Health Care LLC (Richland Hills Nursing & Rehabilitation Center)
- Richland Hills Health Care LLC (Richland Hills Nursing and Rehabilitation Center)
- Salam Al-Hafidh MD Facp PA
- Seven Lights Therapy & Consulting PLLC
- Jeremiah Isaac Simmons, AGACNP
- Sara Solaiman, NP-C
- Southern Pharmaceutical Corporation (Quipt Home Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.