JOHN P RUCKER (NPI# 1821080292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821080292 |
| Entity Type | Individual |
| Full Name | JOHN P RUCKER |
| Credential | PHD ED.D. |
| Practice Address |
6885 Cliffdale Rd Fayetteville NC 28314-2833 |
| Practice Telephone | 9103390400 |
| Practice Fax Number | 9103390396 |
| Mailing Telephone | 9103390400 |
| Mailing Fax Number | 9103390396 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1230 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000078 | 05 | |
| NC | BSBCNC | 0384W | 01 |
| NC | RR MEDICARE | 680011983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462661 | John Michael Rucker | Internal Medicine | 9150 Medcom St, Ste B, North Charleston, SC 29406 | 2005-07-29 |
| Street Address |
6885 CLIFFDALE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932600863 | Ashley Tennyson | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2018-02-26 |
| 1184136897 | James Weldon Nicholson I | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-11-03 |
| 1235649112 | Desmond Lucas | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-10-05 |
| 1285144303 | Kari Bustillos | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-10-03 |
| 1619490414 | Doretha Yvette Somerville | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-07-24 |
| 1235651472 | Natasha Elizabeth Schauer | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-07-10 |
| 1689104713 | Tymesha Le'sha Lamison | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-06-12 |
| 1558897991 | Carolyn Weckenmann | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314 | 2017-05-04 |
| 1982149803 | Jenny Lee Finlan | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-01-01 |
| 1467900589 | Shanna Bell | Counselor | 6885 Cliffdale Rd, Suite 202, Fayetteville, NC 28314-2833 | 2016-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1912483348 | Young Psychological Services, Pllc | Psychologist | 3800 Sunchase Dr, Fayetteville, NC 28306-8099 | 2018-07-18 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1528479169 | Rebecca Crain | Psychologist | 2504 Raeford Rd Ste 102, Fayetteville, NC 28305-5135 | 2014-05-16 |
| 1114344330 | Lesley Teitelbaum | Psychologist | 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 | 2014-03-26 |
| 1740605062 | Kimberlee Alane Cooper | Psychologist | 1200 Fairmont Ct, Fayetteville, NC 28304-4403 | 2014-02-24 |
| 1497176093 | Cheryl Funsch Smith | Psychologist | 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 | 2013-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
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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.