Gary David Rutledge, M.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801014302 Issued in MI

Practice address

6692 Spring Arbor Rd.
Arbor Hills Psychological Services
Jackson, MI 49201

Phone

(517) 750-3869

Fax

(517) 750-3673

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1861605917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 SPRING ARBOR RD.",
            "address_2": "ARBOR HILLS PSYCHOLOGICAL SERVICES",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-750-3869",
            "fax_number": "517-750-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 SPRING ARBOR RD.",
            "address_2": "ARBOR HILLS PSYCHOLOGICAL SERVICES",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-750-3869",
            "fax_number": "517-750-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002558",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801014302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ula Sky Rutan, M.A., LLPC
• Audrey Rutkowski, DNP, RN, AGCNS-BC
• Paige Rutkowski
• Elizabeth Jean Rutledge, D.D.S.
• Gabriella L Rutledge
• Sydnee Laree Rutledge, D.C.
• Alison Renee Ruttle, BSW
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• Belinda Marie Ryan

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.