MR. ELLERY PHILIP RUIZ NPI 1164203097

NPI Information

  • NPI: 1164203097
  • Provider Name: MR. ELLERY PHILIP RUIZ
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3311 KIFER RD
    SANTA CLARA, CA
    ZIP 95051
  • Phone: (510) 424-8460

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NPI Details

MR. Ellery Philip Ruiz is a mental health counselor in Santa Clara, CA. MR. Ellery Philip Ruiz NPI is 1164203097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3311 KIFER RD
SANTA CLARA, CA
ZIP 95051-708
Phone: (510) 424-8460

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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