Amber Christine Ruddock, PHD
Individual provider Active NPI Psychologist · Oak Park, CA
NPI 1801925219 · NPPES record last updated May 26, 2011
Key facts
- NPI
- 1801925219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY22609 (CA)
- Practice address
- 346 Kanan Rd
Ste 203
Oak Park, CA 91377-1100 - Phone
- (818) 293-7920
- Fax
- (818) 865-1232
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Services Inc | Psychologist | Current |
Accepting new patients |
Locations
5014 Chesebro Rd
Fl 2
Agoura Hills, CA 91301
Phone (818) 707-7366
30495 Canwood St
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-7366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY22609 | CA | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
346 Kanan Rd
Ste 203
Oak Park, CA 91377-1100
Mailing address
6648 Buttonwood Ave
Oak Park, CA 91377-1327
Phone (818) 293-7920
Other providers in Oak Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.