Provider Demographics
NPI:1114924362
Name:RUIZ, ESTER L (PHD, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ESTER
Middle Name:L
Last Name:RUIZ
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC
Other - Prefix:DR
Other - First Name:ESTER
Other - Middle Name:R
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1835 W CHANDLER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5286
Mailing Address - Country:US
Mailing Address - Phone:480-779-9050
Mailing Address - Fax:480-717-4025
Practice Address - Street 1:1835 W CHANDLER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5286
Practice Address - Country:US
Practice Address - Phone:480-779-9050
Practice Address - Fax:480-717-4025
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ3116103T00000X, 103TC1900X
AZAP3945363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ228738Medicaid
AZS20610Medicare UPIN
AZ854811Medicaid