Ruby Koltun Dienstag

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1507 W Lawrence Ave
Chicago, IL 60640-4702

Phone

(773) 569-1468

NPI assigned

Jun 28, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Centered Therapy Chicago PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1912328212
  NPD (past)

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1811732043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 N WOLCOTT AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262382",
            "telephone_number": "718-644-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404702",
            "telephone_number": "773-569-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENSTAG",
        "first_name": "RUBY",
        "middle_name": "KOLTUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigayil Cassandre Dieguez, MD
• Aaron P Diehl, DDS
• Douglas A Diekevers, DPM
• Yakima S Diemer, LPC
• Kimberly Ann Dienes, PHD
• Dientes, Inc.
• Vivian H Diep, MD
• Mary Kathryn Dierks, MD
• Janice Dieschbourg, M.D.
• James R Diesfeld, M.D.

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.