Active NPI
Roberta Louise Ruyle, PHD
- Clinical Social Worker
- Muskegon, MI
National Provider Identifier
1780754069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801033346
- Practice address
- 3535 Park St
Suite 101B
Muskegon, MI 49444-3736 - Phone
- (231) 737-4444
- Fax
- (231) 737-5555
- NPI assigned
- Nov 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801033346 | MI | |
| Clinical Social Worker | 1041C0700X | 6801033346 | MI | Primary |
| Marriage & Family Therapist | 106H00000X | 6801033346 | MI |
Addresses
Primary practice location
3535 Park St
Suite 101B
Muskegon, MI 49444-3736
Mailing address
3535 Park St
Suite 101B
Muskegon, MI 49444-3736
Phone (231) 737-4444
Other names 1
- Mrs. Roberta Louise Ruyle-Malady
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801033346 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruyle and Associates | Social Worker | 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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1780754069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PARK ST",
"address_2": "SUITE 101B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "231-737-4444",
"fax_number": "231-737-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PARK ST",
"address_2": "SUITE 101B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "231-737-4444",
"fax_number": "231-737-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUYLE",
"first_name": "ROBERTA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801033346",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801033346",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "6801033346",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "RUYLE-MALADY",
"middle_name": "LOUISE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.