AMBER CHRISTINE RUDDOCK (NPI# 1801925219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801925219 |
| Entity Type | Individual |
| Full Name | AMBER CHRISTINE RUDDOCK |
| Credential | PHD |
| Practice Address |
346 Kanan Rd Ste 203 Oak Park CA 91377-1100 |
| Mailing Address |
6648 Buttonwood Ave Oak Park CA 91377-1327 |
| Practice Telephone | 8182937920 |
| Practice Fax Number | 8188651232 |
| Mailing Telephone | 8182937920 |
| Mailing Fax Number | 8188651232 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY22609 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
346 KANAN RD STE 203 |
| City | OAK PARK |
| State | CA |
| Zip Code | 91377-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083798805 | Tad Alan Erickson | Dentist | 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 | 2006-10-25 |
| 1982851812 | Gary Thomas Hardeman | Speech-Language Pathologist | 346 Kanan Rd, #104, Oak Park, CA 91377-1100 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1992254502 | Brenda Pasqua | Emergency Medical Technician, Basic | 899 Kanan Rd, Oak Park, CA 91377 | 2016-09-23 |
| 1093178303 | Paul Hahn | Marriage & Family Therapist | 6843 Poppyview Drive, Oak Park, CA 91377 | 2016-04-04 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1811079809 | Tracey Burrell | Psychologist | 346 North Kanan Road, 202, Oak Park, CA 91377 | 2006-10-19 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| 1992203228 | Nancy Raquel Ludwig | Marriage & Family Therapist | 5867 Briarwood Ln, Oak Park, CA 91377-1063 | 2018-02-01 |
| 1194809558 | Andrew M Matthew | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377-1111 | 2006-10-24 |
| 1144241258 | Yazdan Alami | Dentist | 368 Kanan Rd, Oak Park, CA 91377-1111 | 2006-07-22 |
| Find all providers in zip 91377 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1215419064 | Ethos Behavioral Health | Psychologist | 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 | 2018-08-29 |
| 1154865590 | Destiny Peterson | Psychologist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2016-12-05 |
| 1811226954 | Tara Marie Andersen | Psychologist | 8543 Oak Park Blvd, Oak Park, MI 48237-1847 | 2009-12-21 |
| 1396981627 | Uhs of Hartgrove, Inc | Psychologist | 101 Madison St Ste 200, Oak Park, IL 60302-4210 | 2008-12-16 |
| 1609081637 | Laurie Anderson | Psychologist | 206 S Kenilworth Ave, Oak Park, IL 60302-3116 | 2007-05-12 |
| 1255451084 | Maurice Solodky Phd P.C. | Psychologist | 1034 Pleasant St, Oak Park, IL 60302-3002 | 2007-03-29 |
| 1033251384 | Debora Ilene Rothbart | Psychologist | 26031 Stratford Pl, Oak Park, MI 48237-1029 | 2007-02-13 |
| 1871667980 | Kimberly Lisa Smith-martinez | Psychologist | 110 S Euclid Ave, Oak Park, IL 60302-2906 | 2006-11-20 |
| 1730293036 | Tamar A Levinson | Psychologist | 1051 N Humphrey Ave, Oak Park, IL 60302-1419 | 2006-08-17 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.