JO RUDDY


Address: 3861 N 1st Ave, Tucson, AZ 85719-1301
Phone: 5202091755

JO RUDDY (NPI# 1194272633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194272633
Entity Type Individual
Full Name JO RUDDY
Other Name JORENA RUDDY
Credential PHD
Practice Address 3861 N 1st Ave
Tucson
AZ 85719-1301
Mailing Address 3861 N 1st Ave
Tucson
AZ 85719
Practice Telephone 5202091755
Mailing Telephone 5202091755
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
148405 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ NA 103T00000X 01
AZ NA 101YP1600X 01

Office Location

Street Address 3861 N 1ST AVE
City TUCSON
State AZ
Zip Code 85719-1301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780713040 Zachary Marulli Saber Specialist 3861 N 1st Ave, Tucson, AZ 85719-1301 2007-03-05
1932656360 Transformational Concepts Pllc Counselor 3861 N 1st Ave, Tucson, AZ 85719-1301 2016-09-01
1205382694 Jodi Hardy Counselor 3861 N 1st Ave, Tucson, AZ 85719-1301 2016-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649813635 Ishani Ravindra Deo Psychologist 1051 E Mabel St, Tucson, AZ 85719 2019-10-22
1235793100 Jacquelyn Christine Wagner Pediatrics 1625 N Campbell, Tucson, AZ 85719 2019-04-26
1831652189 Derek Allan Hatfield Emergency Medicine 1625 N Campbell Ave., Tucson, AZ 85719 2019-04-12
1053874305 Travis Patrick Martin Emergency Medicine 1625 N. Campbell Ave, Tucson, AZ 85719 2019-04-12
1245793504 Martin Cisneroz Emergency Medicine 1625 North Campbell Avenue, Tucson, AZ 85719 2019-04-12
1174086722 Sarah Joy Ring Emergency Medicine 1625 N. Campbell Ave., Tucson, AZ 85719 2019-04-10
1790245520 Akash M Doshi Student in an Organized Health Care Education/Training Program 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 2019-03-20
1942773668 Jeffery Roy Small Massage Therapist 3607 N Vine, Tucson, AZ 85719 2019-01-04
1114434180 Elizabeth Irene Welch Behavioral Analyst 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 2017-12-29
1477076255 Medavail Pharmacy Inc. Pharmacy 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 2017-07-24
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487999447 Thomas Langdon Hill Counselor 288 N Church Ave, Tucson, AZ 85701-1113 2012-12-03
1578852745 Leo Daniel Jeffero Jr. Counselor 6420 E Broadway Blvd, Ste B200, Tucson, AZ 85710-3514 2011-03-28
1073154738 Tonya Clyburn Jones Counselor 10500 E Tanque Verde Rd, Tucson, AZ 85749-8931 2019-10-03
1336265743 Renewal Centers Inc Counselor 6700 N Oracle Rd Ste 505, Tucson, AZ 85704-7736 2007-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1114530540 Kimetta Arniece Coleman Counselor 2375 E Camelback Rd # 628, Phoenix, AZ 85016-3424 2020-08-25
1649882721 Shirli Regev Counselor 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 2020-08-19
1922620913 Veronica Ramirez Counselor 7805 S 27th Way, Phoenix, AZ 85042-7079 2020-05-12
1922628908 Melinda H Connor Counselor 31907 South Davis Ranch Rd, Marana, AZ 85658 2020-04-20
1366947681 Lisa Marie Smith Counselor 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 2018-03-28
1043733025 Margaret K Franklin Counselor 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 2017-07-20
1861929689 Carol Mack Counselor 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 2017-05-11
1871027250 Shawn Breeden Counselor 4196 E Whitehall Dr, San Tan Valley, AZ 85140-7647 2017-04-12
1902342645 Paula Bishop Counselor 2301 E Sahuarita Rd, Sahuarita, AZ 85629-9465 2017-01-18
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Competitor

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City TUCSON
Zip Code 85719

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Dataset Information

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.

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