Vincent Joseph Ruzzo Jr., PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18481 Issued in AZ

Practice address

225 Grove Ave
Prescott, AZ 86301-2908

Phone

(615) 830-3430

NPI assigned

Mar 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Undefined Non-Physician Type (Specify)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 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.

• Raymond W Lemberg PHD PC

  • Psychologist
  • Glendale, AZ
  • NPI 1710162888
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1912035072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GROVE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012908",
            "telephone_number": "615-830-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GROVE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012908",
            "telephone_number": "615-830-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Moeller St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863012612",
            "country_code": "US",
            "telephone_number": "928-420-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUZZO",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "18481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Miriam Rus, PA-C
• Thomas William Rusing, M.D.
• Russell L. Palmer Jr, R.T., B.S.
• Liana Russo, L.AC
• Haley Ruth, OTR/L
• Ryan S. Brown, DDS PLLC
• Dale Ryder, LCSW
• Cheryl A Rynd, LMT, MMP
• S-H Opco Peridot, LLC
• Kathi Sabot, RN

• Professional Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.