Dr Rachel Ann Ruderman, PSY D | |
668 Quinan St, #100, Pinole, CA 94564-1621 | |
(510) 414-9426 | |
(510) 295-2595 |
Full Name | Dr Rachel Ann Ruderman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 668 Quinan St, Pinole, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134383581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Rachel Ann Ruderman, PSY D 668 Quinan St, #100, Pinole, CA 94564-1621 Ph: (510) 414-9426 | Dr Rachel Ann Ruderman, PSY D 668 Quinan St, #100, Pinole, CA 94564-1621 Ph: (510) 414-9426 |
Patricia Anne Dorato, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Samuel St, Pinole, CA 94564 Phone: 510-724-3458 | |
Ms. Naheed Shah Sheikh, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Quinan St, Pinole, CA 94564 Phone: 510-741-7286 | |
Desiree Camilia Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1556 Fitzgerald Dr # 222, Pinole, CA 94564 Phone: 415-254-6647 | |
Mr. Jonathan Daniel Lichtenstein, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Quinan St, Pinole, CA 94564 Phone: 510-741-8642 | |
Deanna L Mayfield, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Kildare Way, Pinole, CA 94564 Phone: 510-221-8597 | |
Bronwyn Kay Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Marlesta Rd, Pinole, CA 94564 Phone: 510-575-3648 |