John P Rucker, PHD ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1230 Issued in NC

Practice address

6885 Cliffdale Rd
Fayetteville, NC 28314-2833

Phone

(910) 339-0400

Fax

(910) 339-0396

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Best Day Psychiatry and Counseling PCGroup PAC ID 2567500671, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Best Day Psychiatry and Counseling, PC

  • Prescribing (Medical) Psychologist
  • Fayetteville, NC
  • NPI 1477506343

  Professional

  Medicare reassignment Care Compare group NPD
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Fuquay Varina, NC
  • NPI 1538537519
  NPD
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Mt Pleasant, SC
  • NPI 1467291542
  NPD
• Verna Dority, MSW, CCSW, Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1396984225
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1821080292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142833",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142833",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "PHD ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBCNC",
            "identifier": "0384W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000078",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "680011983",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Annalisa Rubino
• Sara Ruble
• Richelle Ruder, LICSW
• Roshanda Renee Ruffin, PHARM.D.
• Denise Ruiz-Herrera
• Sarah Hazel Patterson Ruiz, PA-C
• Stephanie Ruiz

• Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.