Dr Maryellen Mikoleski Ruth, PSYD is a
Psychologist - Clinical based in Goshen, Connecticut. Dr Maryellen Mikoleski Ruth is licensed to practice in Connecticut (license number 3444) and her current practice location is
406 Beach St, Goshen, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(631) 697-8019.
NPI number for Dr Maryellen Mikoleski Ruth is 1255739520 and her current mailing address is 406 Beach St, Goshen, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255739520.
Healthcare Provider's Profile
Full Name | Dr Maryellen Mikoleski Ruth |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 406 Beach St, Goshen, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255739520
- Provider Enumeration Date: 12/18/2014
- Last Update Date: 08/27/2024
Medical Identifiers
Medical identifiers for Dr Maryellen Mikoleski Ruth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255739520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 3444 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maryellen Mikoleski Ruth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Maryellen Mikoleski Ruth, PSYD 406 Beach St, Goshen, CT 06756-2310 Ph: (631) 697-8019 | Dr Maryellen Mikoleski Ruth, PSYD 406 Beach St, Goshen, CT 06756-2310 Ph: (631) 697-8019 |
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