Organization Active NPI

Dr. Pamela Ruffer, P.C.

  • Clinical Psychologist
  • Mount Prospect, IL
National Provider Identifier
1891132130
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007701 Issued in IL
Legal business name
DR. PAMELA RUFFER, P.C.
Practice address
200 E Evergreen Ave
Mt Prospect, IL 60056-3240
Phone
(630) 539-0217
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. Pamela Ruffer, PSY.D.
Title
Psychologist
Phone
(630) 539-0217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007701 IL Primary

Addresses

Primary practice location

200 E Evergreen Ave
Mt Prospect, IL 60056-3240

Mailing address

200 E Evergreen Ave
Mt Prospect, IL 60056-3240
Phone (630) 539-0217

National Provider Directory

National Provider Directory

Locations

200 E Evergreen Ave
Mt Prospect, IL 60056
Phone (630) 539-0217

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1891132130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563240",
            "telephone_number": "630-539-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563240",
            "telephone_number": "630-539-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAMELA RUFFER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "RUFFER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-539-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.