Individual provider Active NPI

Ruth Cantor Mayer, PH.D.

  • Addiction (Substance Use Disorder) Psychologist
  • Woodbury, CT
National Provider Identifier
1780707059
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
001542 Issued in CT
Practice address
1080 Main St S
Suite 5
Woodbury, CT 06798-3810
Phone
(203) 263-8878
Fax
(203) 758-2329
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001542 CT
Psychologist 103T00000X 008618-1 NY
Addiction (Substance Use Disorder) Psychologist 103TA0400X 001542 CT Primary
Cognitive & Behavioral Psychologist 103TB0200X 001542 CT
Clinical Psychologist 103TC0700X 001542 CT
Clinical Child & Adolescent Psychologist 103TC2200X 001542 CT
Family Psychologist 103TF0000X 001542 CT
Health Service Psychologist 103TH0100X 001542 CT

Addresses

Primary practice location

1080 Main St S
Suite 5
Woodbury, CT 06798-3810

Mailing address

59 Judd Hill Rd
Woodbury, CT 06798-4010
Phone (203) 758-2329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000055 CT Practitioner - Clinical Psychologist 6800827429 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
008618-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey L. Ruben,MD PC Past 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780707059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 JUDD HILL RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067984010",
            "telephone_number": "203-758-2329",
            "fax_number": "203-758-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MAIN ST S",
            "address_2": "SUITE 5",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983810",
            "telephone_number": "203-263-8878",
            "fax_number": "203-758-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "RUTH",
        "middle_name": "CANTOR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001542",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008618-1",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001542",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CT",
            "license": "001542",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001542",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "001542",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CT",
            "license": "001542",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CT",
            "license": "001542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.