Molly Crossman Ruiz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11383 Issued in MA

Practice address

575 Virginia Rd Ste 102
Concord, MA 01742-2761

Phone

(978) 440-2168

NPI assigned

Apr 14, 2016

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

Other names 1

• Molly Kretchmer Crossman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• DBT Works

  • Clinical Psychologist
  • Concord, MA
  • NPI 1124808027
  NPD Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1831543057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 VIRGINIA RD STE 102",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 VIRGINIA RD STE 102",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422761",
            "telephone_number": "978-440-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MOLLY",
        "middle_name": "CROSSMAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "CROSSMAN",
            "middle_name": "KRETCHMER",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Cecilia Rovaris, RN
• Brandon Rowe, M.D.
• Richard Rubin, MD
• Jessica Rae Rubinstein, MD
• Jeffrey P Rudnick, M.D.
• Russell B. Butler, MD, PC
• Patricia Ruze, MD
• Cynthia Ryan, LMHC
• Susan O'Rourke Ryan I, MSW
• Corinne E Sadoski, M.D.

• Clinical Psychologist in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.