Walter Dackerman Rutherford, M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT19739 Issued in CA

Practice address

6540 Lusk Blvd
Suite C-159
San Diego, CA 92121-2766

Phone

(858) 202-1777

Fax

(858) 202-1701

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1790950400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD",
            "address_2": "SUITE C-159",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212766",
            "telephone_number": "858-202-1777",
            "fax_number": "858-202-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD",
            "address_2": "SUITE C-159",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212766",
            "telephone_number": "858-202-1777",
            "fax_number": "858-202-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "WALTER",
        "middle_name": "DACKERMAN",
        "name_prefix": "Dr.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT19739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ruth, AMFT
• Joseph Ruth, RN
• Annaliese Miriam Ruthberg
• Dawn Michelle Rutherford, MS, RDN
• Kelly Joanne Rutherford, MA
• Ruthiva LLC (Wig Van)
• Alissa A Rutkoski, D.C.
• Kenneth Todd Rutkowski, P.T.
• Mary Rutland, LCSW
• Hilary Joyce Rutledge, DC

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.