Healthcare Provider Details

I. General information

NPI: 1922928225
Provider Name (Legal Business Name): JULIE L RUSKIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 FILLMORE ST
SAN FRANCISCO CA
94115-1814
US

IV. Provider business mailing address

2431 FILLMORE ST
SAN FRANCISCO CA
94115-1814
US

V. Phone/Fax

Practice location:
  • Phone: 415-408-8171
  • Fax:
Mailing address:
  • Phone: 415-408-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberPSY13034
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: