RUBY KOLTUN DIENSTAG
NPI 1811732043
Psychologist in Chicago, IL

Active since June 28, 2024
1507 W LAWRENCE AVE, CHICAGO, IL 60640(773) 569-1468 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Jun 28, 2024 (2 updates tracked since 2024).

About Ruby Koltun Dienstag NPPES

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

RUBY KOLTUN DIENSTAG (NPI 1811732043) is an individual psychologist in Chicago, Illinois and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1811732043
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameRUBY KOLTUN DIENSTAG
Location Address1507 W LAWRENCE AVEChicago, IL 60640-4702
Mailing Address7076 N Wolcott Ave Apt 3Chicago, IL 60626-2382 · (718) 644-1217
Sole ProprietorNo
Enumeration DateJune 28, 2024
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1811732043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1507 W LAWRENCE AVE, Chicago, IL 60640

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Social Worker (Clinical)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Counselor (Professional)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Counselor (Professional)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Psychologist (Clinical)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Social Worker
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Social Worker (Clinical)
1507 W LAWRENCE AVE
CHICAGO, IL 60640
Counselor (Professional)
1507 W LAWRENCE AVE
CHICAGO, IL 60640

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 Ruby Dienstag's NPI number?

The NPI number for Ruby Dienstag is 1811732043. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Ruby Dienstag located?

Ruby Dienstag practices at 1507 W Lawrence Ave, Chicago, IL 60640. The listed phone number is (773) 569-1468.

What is Ruby Dienstag's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ruby Dienstag was last updated on May 5, 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.