Active NPI
Mark A Ruiz, PH.D
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1942464433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7623
- Practice address
- 12167 W Linebaugh Ave
Tampa, FL 33626-1732 - Phone
- (813) 727-0131
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7623 | FL | Primary |
Addresses
Primary practice location
12167 W Linebaugh Ave
Tampa, FL 33626-1732
Mailing address
3837 Northdale Blvd
343
Tampa, FL 33624-1841
Phone (813) 727-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1942464433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3837 NORTHDALE BLVD",
"address_2": "343",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241841",
"telephone_number": "813-727-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12167 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-727-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.