DR. ALYSA ANN RUDDELL PH.D. NPI 1841385374

NPI Information

  • NPI: 1841385374
  • Provider Name: DR. ALYSA ANN RUDDELL, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 SOUTH 336 ST.
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 874-5319

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NPI Details

DR. Alysa Ann Ruddell, PH.D. is a clinical psychologist in Federal Way, WA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Alysa Ann Ruddell, PH.D. NPI is 1841385374. 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:

801 SOUTH 336 ST.
FEDERAL WAY, WA
ZIP 98003-310
Phone: (253) 874-5319
Fax: (253) 838-5586

The NPI 1841385374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

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
1103TC0700XPsychologistClinicalPSY1268WASHINGTONYes

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
1RU7443OTHERWASHINGTONBLUE CROSS/BLUE SHIELD
233375OTHERWASHINGTONTRIWEST/CHAMPUS
3947416OTHERWASHINGTONWASHINGTON STATE PROVIDER
411597OTHERWASHINGTONCRIME VICTIM'S FUND
57070121MEDICAIDWASHINGTON

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

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