RUBY ITZEN DR. NPI 1639527815

NPI Information

  • NPI: 1639527815
  • Provider Name: RUBY ITZEN, DR.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 7031 FEATHER WOOD DR
    RUSKIN, FL
    ZIP 33573
  • Phone: (239) 410-0065

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NPI Details

Ruby Itzen, DR. is a mental health counselor in Ruskin, FL. Ruby Itzen, DR. NPI is 1639527815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7031 FEATHER WOOD DR
RUSKIN, FL
ZIP 33573-105
Phone: (239) 410-0065

The enumeration date for this NPI number is 5/29/2016 and was last updated on 9/19/2019.

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
1174400000XSpecialistMH7536FLORIDANo
2101YM0800XCounselorMental HealthYes
3261Q00000XClinic/CenterNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
176624088 00MEDICAIDFLORIDA

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: 3/30/2025

NPI Synchronization or Removal

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