JACQUELINE M RUDDY ASW
NPI 1295390631
Marriage & Family Therapist in Huntington Beach, CA
About Jacqueline M Ruddy Asw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE M RUDDY ASW (NPI 1295390631) is an individual marriage & family therapist in Huntington Beach, California, licensed in California (53280) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Viejo, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline M Ruddy Asw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Ruddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Irvine, CA 92618
- Reassigned Medicare billing, California enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92648
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 Jacqueline Ruddy's NPI number?
The NPI number for Jacqueline Ruddy is 1295390631. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Jacqueline Ruddy located?
Jacqueline Ruddy practices at 2130 Main St Ste 120, Huntington Beach, CA 92648. The listed phone number is (714) 402-5106.
What is Jacqueline Ruddy's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jacqueline Ruddy enrolled in Medicare?
Yes. Jacqueline Ruddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Ruddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ruddy reassigns Medicare benefits to 3 organizations: Cognitive Care Solutions Group Inc (Santa Ana, CA), Providence Medical Foundation (Orange, CA) and Orange County Health Psychologists, Inc. (Irvine, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Ruddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Ruddy was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Jacqueline M Ruddy, ASW · NPI 1295390631
Marriage & Family Therapist provider in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1295390631 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 53280 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2130 MAIN ST STE 120, Huntington Beach, CA 92648-6476
- **Phone:** (714) 402-5106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cognitive Care Solutions Group Inc (NPI 1548614183, Santa Ana, CA); Providence Medical Foundation (NPI 1801443510, Orange, CA); Orange County Health Psychologists, Inc. (NPI 1174945554, Irvine, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 10, 2026
- **Other identifiers:** Other 1235447897
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Source: [NPI Profile](https://npiprofile.com/npi/1295390631) · Data from the CMS NPPES public registry.