| Ruf Psychology Services | |
|
655 Kenmoor Ave Se Ste 303 Grand Rapids MI 49546-8622 | |
| (616) 320-4464 | |
| Not Available |
| Full Name | Ruf Psychology Services |
|---|---|
| Speciality | Psychologist |
| Location | 655 Kenmoor Ave Se Ste 303, Grand Rapids, Michigan |
| Authorized Official Name and Position | Brooke M Ruf (OWNER) |
| Authorized Official Contact | 6163204464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruf Psychology Services 625 Kenmoor Ave Se Ste 301 Grand Rapids MI 49546-2395 Ph: (616) 320-4464 | Ruf Psychology Services 655 Kenmoor Ave Se Ste 303 Grand Rapids MI 49546-8622 Ph: (616) 320-4464 |
| NPI Number | 1528752151 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 5395109235 |
|---|---|
| Medicare Enrollment ID | O20230912001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528752151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke M Ruf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538728118 PECOS PAC ID: 9638553878 Enrollment ID: I20220907001325 |
| Provider Name | Robin Suzanne Mccoy Shankin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710463633 PECOS PAC ID: 9234675562 Enrollment ID: I20240723003624 |
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