MAXINE A RUDDOCK PH.D.
NPI 1205014461
Psychologist - Clinical in Tavares, FL

Q: What is Maxine Ruddock's NPI number?

The NPI number for Maxine Ruddock is 1205014461. It was assigned to this individual provider in the NPPES registry on February 8, 2008.

Q: What is Maxine Ruddock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Maxine Ruddock was last updated on May 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2008

2511 DORA AVE, TAVARES, FL 32778(352) 508-5399(917) 677-7121 Get Directions Write a Review

NPPES record last updated: May 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maxine A Ruddock Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXINE A RUDDOCK PH.D. (NPI 1205014461) is an individual clinical provider in Tavares, Florida, licensed in Florida (PY7658) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1205014461

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMAXINE A RUDDOCKCredential: PH.D.

Location Address2511 DORA AVETavares, FL 32778-4977

Mailing Address2511 Dora AveTavares, FL 32778-4977 · (352) 508-5399 · Fax (917) 677-7121

Phone(352) 508-5399

Fax(917) 677-7121

Sole ProprietorYes

Enumeration DateFebruary 8, 2008

Last NPPES UpdateMay 2, 2015

✔ NPI 1205014461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY7658

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X · License PY7658 (FL)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License PY7658 (FL)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PY7658 (FL)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PY7658 (FL)

Also ListedPsychologistTaxonomy 103T00000X · License PY7658 (FL)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PY7658 (FL)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PY7658 (FL)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PY7658 (FL)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PY7658 (FL)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PY7658 (FL)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PY7658 (FL)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PY7658 (FL)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PY7658 (FL)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License PY7658 (FL)

2511 DORA AVE, Tavares, FL 32778

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Other Identifiers 4

Medicaid008648900FL

Medicaid004105100FL

Medicare UPINAJ642XFL

Medicare UPINAJ642YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANIE PIGOTT LMHC

Counselor (Mental Health)

2511 DORA AVE
TAVARES, FL 32778

Lake County (352) 508-5399

COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES

Community/Behavioral Health

2511 DORA AVE
TAVARES, FL 32778

Lake County (352) 508-5399

MAXINE A RUDDOCK PHD P A

Community/Behavioral Health

2511 DORA AVE
TAVARES, FL 32778

Lake County (352) 508-5399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Ruddock's NPI number?

The NPI number for Maxine Ruddock is 1205014461. It was assigned to this individual provider in the NPPES registry on February 8, 2008.

Where is Maxine Ruddock located?

Maxine Ruddock practices at 2511 Dora Ave, Tavares, FL 32778. The listed phone number is (352) 508-5399.

What is Maxine Ruddock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Maxine Ruddock accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Maxine Ruddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxine Ruddock was last updated on May 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.