Individual provider Active NPI

Ruth Marie Swartwood, PH.D., L.P

  • Clinical Psychologist
  • Oakdale, MN
National Provider Identifier
1992179501
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5954 Issued in MN
Practice address
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone
(651) 777-5222
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 LP5954 MN Primary

Addresses

Primary practice location

7066 Stillwater Blvd N
Oakdale, MN 55128-3937

Mailing address

7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone (651) 777-5222

Other practice location 1

1611 County Road B W Ste 202
Roseville, MN 55113-4053
Phone (651) 300-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000578 MN Practitioner - Clinical Psychologist 6709289051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminous Mind IncGroup PAC ID 3678816402, 9 clinicians
Canvas Health IncGroup PAC ID 8729073978, 28 clinicians

Practice addresses (Care Compare)

1611 County Rd B W
Suite 202
Roseville, MN 55113-4053
Phone (651) 300-1112

7066 Stillwater N Blvd
Oakdale, MN 55128-3937
Phone (651) 777-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5954MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canvas Health, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Luminous Mind Inc Clinical CurrentSince Apr 11, 2022 Accepting new patients
Fraser Past Accepting new patients

Locations

1611 County Road B W
Ste 202
Saint Paul, MN 55113
Phone (651) 300-1112

7066 Stillwater Blvd N
Saint Paul, MN 55128

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1992179501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7066 STILLWATER BLVD N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283937",
            "telephone_number": "651-777-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7066 STILLWATER BLVD N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283937",
            "telephone_number": "651-777-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 County Road B W Ste 202",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551134053",
            "country_code": "US",
            "telephone_number": "651-300-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWARTWOOD",
        "first_name": "RUTH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.