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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 4

Other7184CA · Medi-cal
Other7667CA · Medi-cal
Other7368CA · Medi-cal
Other7708CA · Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Philip Ruddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders Psychological Services, Inc.
8.5 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249
Soultenders, Inc.
8.5 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034

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 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
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
JESSICA GONZALEZ
Social Worker
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
QING YE
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
MR. MARK ANTHONY ACUNA
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
LINDSEY SCHWARTZ
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
TYRONNE KAHLIL PLUNKETT
Student in an Organized Health Care Education/Training Program
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536
CHANTELL REYES TARAZON
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5550
LINDA ANN ANDRADE MFT INTERN
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Los Angeles County (323) 344-5536

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 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.

Where is Philip Ruddy located?

Philip Ruddy practices at 205 Pasadena Ave, South Pasadena, CA 91030. The listed phone number is (323) 344-5536.

What is Philip Ruddy's specialty?

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

Is Philip Ruddy enrolled in Medicare?

Yes. Philip Ruddy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Philip Ruddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Ruddy reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, 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 Philip 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 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.