SAMUEL EMILE RUTHERFORD DR.
NPI 1477962173
Psychologist - Clinical in Indianapolis, IN

Q: What is Samuel Rutherford's NPI number?

The NPI number for Samuel Rutherford is 1477962173. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Q: What is Samuel Rutherford'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 Samuel Rutherford was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 06, 2014

1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 544-0000 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Mar 18, 2017 (2 updates tracked since 2017).

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About Samuel Emile Rutherford Dr. NPPES

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

SAMUEL EMILE RUTHERFORD DR. (NPI 1477962173) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (20043782B) and active in the NPI registry since August 2014. He maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1477962173

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSAMUEL EMILE RUTHERFORDCredential: DR.

Location Address1481 W 10TH STIndianapolis, IN 46202-2803

Mailing Address1255 Pearl St Ste 101Eugene, OR 97401-3570 · (541) 799-5386

Phone(317) 544-0000

Sole ProprietorYes

Enumeration DateAugust 6, 2014

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1477962173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20043782B

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-16-097 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1481 W 10TH ST, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 11255 Pearl St Ste 101Eugene, OR 97401-3570 · Phone (541) 799-5386

Other Identifiers 2

Medicaid500720412OR

Medicaid500676126OR

Other Providers at the Same Location NPPES 20

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

DR. SATISH KENCHAIAH MD, MPH

Internal Medicine (Cardiovascular Disease)