Provider Demographics
NPI:1568909687
Name:RUPPEL, NAOMI (MFTI, PCCI)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:RUPPEL
Suffix:
Gender:F
Credentials:MFTI, PCCI
Other - Prefix:MS
Other - First Name:NAOMI
Other - Middle Name:RENEE
Other - Last Name:RUPPEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:124 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-9601
Mailing Address - Country:US
Mailing Address - Phone:831-455-4770
Mailing Address - Fax:831-455-4739
Practice Address - Street 1:124 RIVER RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-9601
Practice Address - Country:US
Practice Address - Phone:831-455-4770
Practice Address - Fax:831-455-4739
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF96540101YM0800X, 106H00000X
CAPCCI3523101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional