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MRS. LISA AMY RUDERMAN MA MFT
NPI 1912044124
Counselor - Mental Health in La Jolla, CA

Active since January 30, 2007
9850 GENESEE AVE, 425, LA JOLLA, CA 92037(858) 452-8467(858) 452-8547 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Amy Ruderman Ma Mft NPPES

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

MRS. LISA AMY RUDERMAN MA MFT (NPI 1912044124) is an individual mental health provider in La Jolla, California, licensed in California (MFC37853) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1912044124
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LISA AMY RUDERMANCredential: MA MFT
Location Address9850 GENESEE AVE, 425La Jolla, CA 92037-1224
Mailing Address10646 Briarlake Woods DrSan Diego, CA 92130-4832 · (858) 481-7477 · Fax (858) 481-7456
Phone(858) 452-8467
Fax(858) 452-8547
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912044124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC37853
9850 GENESEE AVE, La Jolla, CA 92037
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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.

SUHAIR S. ERIKAT MFT
Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
San Diego County (858) 558-2731
DR. MARK C ADRIAN M.D.
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
San Diego County (858) 623-6333
MRS. KATHLEEN DYKES YOUNG MS
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
San Diego County (858) 847-5064
YEVHENIYA KHROBUST FNP
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 554-9100
DR. PAMILA K. BRAR M.D.
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
San Diego County (858) 200-3007
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
MAHMOOD MAHDAVI M.D.
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037
San Diego County (858) 458-9955

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 Lisa Ruderman's NPI number?

The NPI number for Lisa Ruderman is 1912044124. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Lisa Ruderman located?

Lisa Ruderman practices at 9850 Genesee Ave 425, La Jolla, CA 92037. The listed phone number is (858) 452-8467.

What is Lisa Ruderman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Ruderman 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.