Stacey Ruiz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6714 41St Ave
Woodside, NY 11377-8128

Phone

(718) 458-4243

NPI assigned

Sep 5, 2018

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

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1881176923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 MENAHAN ST FL 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852605",
            "telephone_number": "347-417-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 41ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778128",
            "telephone_number": "718-458-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34-10 108th Street",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "11368",
            "country_code": "US",
            "telephone_number": "347-287-0175 x205",
            "fax_number": "347-287-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Nicholas Rubin, COTA
• Jose Rubio
• Sonia Rueda
• Maria Ruiz de Toro, LMHC
• John Ruiz, OTR/L
• Tasha Ruiz
• Kris Rusek
• Marcus R Rusek
• Ted S Rusek
• Rush Hour Fleet Inc

• Mental Health Counselor in Woodside, NY
• Providers in Woodside, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.