Individual provider Active NPI

Ivy Janitza Ikpeme Ruths, PH.D.

  • Psychologist
  • Houston, TX
National Provider Identifier
1780054833
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36338 Issued in TX
Practice address
708 E 19TH St
Houston, TX 77008-4488
Phone
(832) 900-1276
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36338 TX Primary

Addresses

Primary practice location

708 E 19TH St
Houston, TX 77008-4488

Mailing address

7447 Cambridge St Apt 83
Houston, TX 77054-2028
Phone (832) 444-4749

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

LicenseStateTypeSpecialty
36338TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Anxiety and Wellness Center Psychologist Current Accepting new patients

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1780054833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 CAMBRIDGE ST APT 83",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542028",
            "telephone_number": "832-444-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E 19TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084488",
            "telephone_number": "832-900-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHS",
        "first_name": "IVY",
        "middle_name": "JANITZA IKPEME",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.