Active NPI
Michelle Rutz, PSYD
- Counseling Psychologist
- Roseville, CA
National Provider Identifier
1801554126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSB94026141
- Practice address
- 8303 Sierra College Blvd
Roseville, CA 95661-9485 - Phone
- (916) 234-6894
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSB94026141 | CA | Primary |
Addresses
Primary practice location
8303 Sierra College Blvd
Roseville, CA 95661-9485
Mailing address
2995 Pasada Rd
Cameron Park, CA 95682-9155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94026141 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1801554126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 PASADA RD",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956829155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SIERRA COLLEGE BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956619485",
"telephone_number": "916-234-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTZ",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSB94026141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.