JACQUE RUCH LCSW, LTD. (NPI# 1265970180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265970180 |
| Entity Type | Organization |
| Organization Name | JACQUE RUCH LCSW, LTD. |
| Practice Address |
650 N Main St Rockford IL 61103-6921 |
| Practice Telephone | 8152438332 |
| Practice Fax Number | 8476933099 |
| Mailing Telephone | 8152438332 |
| Mailing Fax Number | 8476933099 |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |
| Authorized Official Name | MISSY L WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8156211932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
149015073 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760885255 | Jacque Ruch Lcsw, Ltd. | Community/Behavioral Health | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2014-09-29 |
| Street Address |
650 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042474 | Easter Seals Children's Development Center | Physical Therapist | 650 N Main St, Rockford, IL 61103-6921 | 2006-05-19 |
| 1073751996 | Easter Seals Children's Development Center | Early Intervention Provider Agency | 650 N Main St, Rockford, IL 61103-6921 | 2009-01-30 |
| 1033380928 | Judith L Ruch | Speech-Language Pathologist | 650 N Main St, Rockford, IL 61103-6921 | 2008-03-18 |
| 1295939445 | Patricia S Land | Occupational Therapy Assistant | 650 N Main St, Rockford, IL 61103-6921 | 2007-06-12 |
| 1568673291 | Heather Brule | Speech-Language Pathologist | 650 N Main St, Rockford, IL 61103-6921 | 2007-05-24 |
| 1932311354 | Maria E Coffman | Physical Therapist | 650 N Main St, Rockford, IL 61103-6921 | 2007-05-06 |
| 1356553788 | Janet A Randall | Developmental Therapist | 650 N Main St, Rockford, IL 61103-6921 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783630 | Charlene Sanuade | Psychologist | 29 S Webster St Ste 390a, Naperville, IL 60540-5356 | 2019-07-25 |
| 1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
| 1871929042 | Management Services Team Inc. | Psychologist | 18225 Fountainbleau Dr, Hazel Crest, IL 60429-2231 | 2013-09-19 |
| 1649565060 | Joseph (joe) Robert Seldess | Psychologist | 1014 Brummel, Evanston, IL 60202-3874 | 2011-06-14 |
| 1740421296 | South Suburban Senior Socialites, Inc | Psychologist | 17303 Hawthorne Dr, Hazel Crest, IL 60429-1838 | 2009-03-12 |
| 1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
| 1831362227 | Greater Chicago Group Psychotherapy, Inc. | Psychologist | 54 Falcon Place, Westmont, IL 60559 | 2008-04-08 |
| 1710162862 | Wise Behavioral Health Services Ltd | Psychologist | 9012 S Crandon Ave, Chicago, IL 60617-3807 | 2008-01-08 |
| 1942485198 | Pathways Psychology Services P.C. | Psychologist | 28w671 Garys Mill Road, Winfield, IL 60190 | 2008-01-07 |
| 1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
| Find all providers with the same taxonomy | ||||
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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.