Provider Demographics
NPI:1114123767
Name:JOSEPH A RUGGIERI
Entity Type:Organization
Organization Name:JOSEPH A RUGGIERI
Other - Org Name:ASSOCIATES IN PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUGGIERI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-686-5013
Mailing Address - Street 1:565 TURNPIKE ST
Mailing Address - Street 2:#84
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5922
Mailing Address - Country:US
Mailing Address - Phone:978-686-5013
Mailing Address - Fax:978-685-6556
Practice Address - Street 1:565 TURNPIKE ST
Practice Address - Street 2:#84
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5922
Practice Address - Country:US
Practice Address - Phone:978-686-5013
Practice Address - Fax:978-685-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1890255Medicaid