Joshua Jacob Rutt

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112639 Issued in CA

Practice address

2991 Shattuck Ave
Berkeley, CA 94705-1870

Phone

(650) 260-5674

NPI assigned

Sep 1, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1922612670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 35TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191104",
            "telephone_number": "541-285-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051870",
            "telephone_number": "650-260-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT",
        "first_name": "JOSHUA",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Russell, L.AC.
• Irene Russo, MS PSYCHOLOGY
• Vincent Russo, CAADAC
• Marjan Rusta, D.D.S
• Taly Rutenberg, LCSW
• Matthew Rutzi
• Gabriella Rochelle Ruzin
• Ryan L. Horn, D.D.S. and Barron K. Hong, D.M.D., M.S., a Partnership
• Ryan Lawrence Horn, D.D.S. (Berkeley Periodontics and Dental Implants)
• Kristina Ryan

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.