Active NPI
Benjamin Rutt, PH.D.
- Counseling Psychologist
- Baltimore, MD
National Provider Identifier
1992152391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 05682
- Practice address
- 1414 Key Hwy
Ste 300M
Baltimore, MD 21230-5189 - Phone
- (410) 995-8219
- NPI assigned
- May 16, 2016
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 05682 | MD | Primary |
Addresses
Primary practice location
1414 Key Hwy
Ste 300M
Baltimore, MD 21230-5189
Mailing address
1414 Key Hwy
Ste 300M
Baltimore, MD 21230-5189
Phone (410) 995-8219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1609160126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1992152391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 KEY HWY",
"address_2": "STE 300M",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305189",
"telephone_number": "410-995-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 KEY HWY",
"address_2": "STE 300M",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305189",
"telephone_number": "410-995-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTT",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "05682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.