ERICKA RUTLEDGE PHD
NPI 1215448527
Psychologist - Clinical in Saint Louis, MO

NPI Status: Active since October 14, 2017

Contact Information

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 577-5667

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Psychologist
Clinical
Accepts Insurance
PECOS Enrolled

About ERICKA RUTLEDGE

This page provides the complete NPI Profile along with additional information for Ericka Rutledge, a provider established in Saint Louis, Missouri with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215448527 assigned on October 2017. The practitioner's primary taxonomy code is 103TC0700X with license number 2017043357 (MO). The provider is registered as an individual and her NPI record was last updated April 2025.

NPI: 1215448527
Provider Name: ERICKA RUTLEDGE PHD
Gender: Female
Entity Type: Individual
Location Address: 1465 S GRAND BLVD SAINT LOUIS, MO 63104
Location Phone: (314) 577-5667
Mailing Address: 833 DOERWOOD CT SAINT LOUIS, MO 63122
Mailing Phone: (260) 403-4480
Is Sole Proprietor?: No
Enumeration Date: 10-14-2017
Last Update Date: 04-17-2025
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A clinical psychologist like Ericka Rutledge assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

3800 Park Ave
Saint Louis, MO 63110
(314) 577-5609

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychologist Clinical
Taxonomy Code: 103TC0700X
Type: Behavioral Health & Social Service Providers
License No.: 2017043357
License State: MO
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Catastrophic - EPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Standard - EPO
Balance by Medica Silver $0 Copay PCP Visits - EPO
Balance by Medica Silver Share - EPO
Balance by Medica Silver Standard - EPO
Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
Medica with MU Health Care Bronze Premier - EPO
Medica with MU Health Care Catastrophic - EPO
Medica with MU Health Care Expanded Bronze Standard - EPO
Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
Medica with MU Health Care Gold Share - EPO
Medica with MU Health Care Gold Standard - EPO
Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
Medica with MU Health Care Silver Share - EPO
Medica with MU Health Care Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ericka Rutledge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

Average New Patient Price $169.38
Minimum New Patient Price $55.65
Maximum New Patient Price $169.38

Average New Patient Copayment $42.34
Minimum New Patient Copayment $13.91
Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $98.37
Minimum Established Patient Price $17.76
Maximum Established Patient Price $137.92

Average Established Patient Copayment $24.59
Minimum Established Patient Copayment $4.44
Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	4	4	8	5	2	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	8	4	16	5	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 8 + 4 + 1 + 6 + 5 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1215448527 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

ADRIENNE G TILBOR DO

Physical Medicine & Rehabilitation

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104

About ERICKA RUTLEDGE

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Psychologist Clinical

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for ERICKA RUTLEDGE PHD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions