PHILIP RUDDY
NPI 1699211185
Marriage & Family Therapist in South Pasadena, CA

Q: What is Philip Ruddy's NPI number?

The NPI number for Philip Ruddy is 1699211185. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Q: What is Philip Ruddy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philip Ruddy was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 09, 2017PECOS Enrolled

205 PASADENA AVE, SOUTH PASADENA, CA 91030(323) 344-5536 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2018, Jan 9, 2017 (2 updates tracked since 2017).

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About Philip Ruddy NPPES

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

PHILIP RUDDY (NPI 1699211185) is an individual marriage & family therapist in South Pasadena, California, licensed in California (LMFT107495) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699211185

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NamePHILIP RUDDY

Location Address205 PASADENA AVESouth Pasadena, CA 91030

Mailing Address205 Pasadena AveSouth Pasadena, CA 91030-2919 · (323) 344-5536

Phone(323) 344-5536

Sole ProprietorYes

Enumeration DateJanuary 9, 2017

Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration

✔ NPI 1699211185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT107495

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.

205 PASADENA AVE, South Pasadena, CA 91030

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Other Identifiers 4

Other7184CA · Medi-cal

Other7667CA · Medi-cal

Other7368CA · Medi-cal

Other7708CA · Medi-cal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Ruddy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. MEGAN LYNN MURPHY

Marriage & Family Therapist