KRISTIN JOHNSTON RUSK PH.D.
NPI 1851308613
Psychologist - Clinical in Broomfield, CO

Q: What is Kristin Rusk's NPI number?

The NPI number for Kristin Rusk is 1851308613. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Kristin Rusk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kristin Rusk enrolled in Medicare?

No. Kristin Rusk has opted out of Medicare through January 11, 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 Kristin Rusk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 02, 2006Opted out of Medicare · through Jan 11, 2028

740 BURBANK ST, BROOMFIELD, CO 80020(303) 885-9588(303) 926-1919 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Kristin Johnston Rusk Ph.d. NPPES

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

KRISTIN JOHNSTON RUSK PH.D. (NPI 1851308613) is an individual clinical provider in Broomfield, Colorado, licensed in Colorado (2371) and active in the NPI registry since August 2006. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1851308613

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKRISTIN JOHNSTON RUSKCredential: PH.D.

Location Address740 BURBANK STBroomfield, CO 80020-1658

Mailing Address740 Burbank StBroomfield, CO 80020-1658 · (303) 885-9588 · Fax (303) 926-1919

Phone(303) 885-9588

Fax(303) 926-1919

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851308613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · 2371

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.

740 BURBANK ST, Broomfield, CO 80020

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin Johnston Rusk Ph.d. 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 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024

Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

WHOLE LIFE COUNSELING CENTER, LLC

Social Worker (Clinical)