RUTH MARYA FANKUSHEN LMFT
NPI 1386055341
Marriage & Family Therapist in Davis, CA

Q: What is Ruth Fankushen's NPI number?

The NPI number for Ruth Fankushen is 1386055341. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Q: What is Ruth Fankushen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Ruth Fankushen enrolled in Medicare?

No. Ruth Fankushen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ruth Fankushen was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 13, 2014Opted out of Medicare · through Jan 1, 2028

2655 PORTAGE BAY E STE 4, DAVIS, CA 95616(530) 507-8647(530) 302-3388 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Ruth Marya Fankushen Lmft NPPES

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

RUTH MARYA FANKUSHEN LMFT (NPI 1386055341) is an individual marriage & family therapist in Davis, California, licensed in California (94555) and active in the NPI registry since May 2014. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Woodland.

NPPES Registry Identity

NPI1386055341

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameRUTH MARYA FANKUSHENCredential: LMFT

Location Address2655 PORTAGE BAY E STE 4Davis, CA 95616-3073

Mailing Address2655 Portage Bay E Ste 4Davis, CA 95616-3073 · (530) 507-8647 · Fax (530) 302-3388

Phone(530) 507-8647

Fax(530) 302-3388

Sole ProprietorYes

Enumeration DateMay 13, 2014

Last NPPES UpdateSeptember 19, 2018

✔ NPI 1386055341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 94555✔ Licensed in CA · IMF 74268

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2655 PORTAGE BAY E STE 4, Davis, CA 95616

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Secondary Practice Location 1

Location 1455 1st StWoodland, CA 95695-4023 · Phone (530) 662-2211 ext. 26 · Fax (530) 662-4315

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ruth Marya Fankushen Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Ruth Fankushen's NPI number?

The NPI number for Ruth Fankushen is 1386055341. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Ruth Fankushen located?

Ruth Fankushen practices at 2655 Portage Bay E Ste 4, Davis, CA 95616. The listed phone number is (530) 507-8647.

What is Ruth Fankushen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ruth Fankushen enrolled in Medicare?

No. Ruth Fankushen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ruth Fankushen was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.