1275646960 NPI number — MS. CHARLIE RUFF L.M.F.T.

Table of content: MS. CHARLIE RUFF L.M.F.T. (NPI 1275646960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275646960 NPI number — MS. CHARLIE RUFF L.M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUFF
Provider First Name:
CHARLIE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275646960
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7549 CREEKRIDGE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CITRUS HEIGHTS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95610-3244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-323-5182
Provider Business Mailing Address Fax Number:
916-910-9412

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6381 AUBURN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CITRUS HEIGHTS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95621-5273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-910-9412
Provider Business Practice Location Address Fax Number:
916-910-9412
Provider Enumeration Date:
08/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC 38646 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 600770897 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 694942 . This is a "VALUE OPTIONS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 01674894 . This is a "ALAMEDA COUNTY BEHAVIORAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 08082 . This is a "CONTRA COSTA COUNTY MENTA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MFT386460 . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 272686 . This is a "MHN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com