Active NPI
Jamee Ruddy
- Behavior Analyst
- Carbondale, PA
National Provider Identifier
1942722327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH001866
- Practice address
- 3 Hendrick LN
Carbondale, PA 18407-2015 - Phone
- (570) 687-5242
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Early Intervention Provider Agency | 252Y00000X | 1031020430001 | PA | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Behavior Analyst | 103K00000X | BH001866 | PA | Primary |
Addresses
Primary practice location
3 Hendrick LN
Carbondale, PA 18407-2015
Mailing address
3 Hendrick LN
Carbondale, PA 18407-2015
Phone (570) 687-5242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031020430001 | Medicaid | PA | |
| 1031020430001 | Other | PA | MEDICAL ASSISTANCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001866 | PA | MD | Behavioral Analyst |
| 1031020430001 | PA | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Adult Programs LLC | Early Intervention Provider Agency | Current | Accepting new patients |
| Village Care Services LLC | Early Intervention Provider Agency | Current | Accepting new patients |
Locations
38 N Scott St
Carbondale, PA 18407
Phone (570) 280-2800
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Glen Rock, NJ
- NPI 1790630200
Early Intervention Provider Agency
-
dba Compass Health Systems
- Community/Behavioral Health Agency
- Carbondale, PA
- NPI 1851983332
Early Intervention Provider Agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771027200000",
"number": "1942722327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HENDRICK LN",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072015",
"telephone_number": "570-687-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HENDRICK LN",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072015",
"telephone_number": "570-687-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDY",
"first_name": "JAMEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "PA",
"license": "1031020430001",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031020430001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "1031020430001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.