Ruark Psychotherapy Apc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10329 Issued in CA

Legal business name

RUARK PSYCHOTHERAPY APC

Practice address

3020 Castle Heights Ave
Los Angeles, CA 90034-2753

Phone

(310) 837-7979

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Daniel Ruark, M.A., M.F.T.

Title

President

Phone

(310) 837-7979

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Ruark, PH.D.

  • Psychologist
  • Los Angeles, CA
  • NPI 1992103899
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1780081547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9854 NATIONAL BLVD",
            "address_2": "SUITE 372",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342713",
            "telephone_number": "310-837-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CASTLE HEIGHTS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342753",
            "telephone_number": "310-837-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUARK PSYCHOTHERAPY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-837-7979",
        "authorized_official_credential": "M.A., M.F.T."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10329",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT34153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Ruano
• Irma Zarate Ruano
• Patricio Antonio Ruano, MD
• Raymond Ruano
• Stacey Ruano
• Daniel Ruark, MFT
• Lydia Ruark, PH.D.
• Jenna Ann Ruback, M.S., CCC-SLP
• Alia Rubaie
• Kimberly Rubalcaba

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.