Individual provider Active NPI

Josephine Anne Caruso-Ruhl, MA, LLP

  • Clinical Psychologist
  • Northville, MI
National Provider Identifier
1972930139
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009864 Issued in MI
Practice address
670 Griswold St
Ste. #3
Northville, MI 48167-2675
Phone
(248) 347-3470
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009864 MI Primary

Addresses

Primary practice location

670 Griswold St
Ste. #3
Northville, MI 48167-2675

Mailing address

23871 Winged Foot Way
South Lyon, MI 48178-9083
Phone (248) 514-7713

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301009864MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1972930139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23871 WINGED FOOT WAY",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789083",
            "telephone_number": "248-514-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST",
            "address_2": "STE. #3",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672675",
            "telephone_number": "248-347-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO-RUHL",
        "first_name": "JOSEPHINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.