Maxine Ruddock, PH.D.
Maxine Ruddock, PH.D. is a Clinical Psychologist in Tavares, FL, registered under NPI 1205014461. This provider registers 15 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2511 DORA AVE, Tavares, FL 32778. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PY7658 | FL | Clinical Psychologist primary |
| PY7658 | FL | Mental Health Counselor |
| PY7658 | FL | Addiction (Substance Use Disorder)… |
| PY7658 | FL | Professional Counselor |
| PY7658 | FL | Clinical Social Worker |
| PY7658 | FL | Group Psychotherapy Psychologist |
| PY7658 | FL | Psychologist |
| PY7658 | FL | Addiction (Substance Use Disorder)… |
| PY7658 | FL | Adult Development & Aging Psychologist |
| PY7658 | FL | Clinical Child & Adolescent Psychologist |
| PY7658 | FL | Cognitive & Behavioral Psychologist |
| PY7658 | FL | Counseling Psychologist |
| PY7658 | FL | Intellectual & Developmental Disabilities… |
| PY7658 | FL | Counselor |
| PY7658 | FL | Family Psychologist |
This provider holds licence PY7658 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical covers
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. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist Clinical | PY7658 | FL | primary |
| 101YM0800X | Mental Health Counselor Mental Health | PY7658 | FL | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | PY7658 | FL | |
| 101YP2500X | Professional Counselor Professional | PY7658 | FL | |
| 1041C0700X | Clinical Social Worker Clinical | PY7658 | FL | |
| 103TP2701X | Group Psychotherapy Psychologist Group Psychotherapy | PY7658 | FL | |
| 103T00000X | Psychologist | PY7658 | FL | |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | PY7658 | FL | |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | PY7658 | FL | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | PY7658 | FL | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | PY7658 | FL | |
| 103TC1900X | Counseling Psychologist Counseling | PY7658 | FL | |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | PY7658 | FL | |
| 101Y00000X | Counselor | PY7658 | FL | |
| 103TF0000X | Family Psychologist Family | PY7658 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1205014461 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 8, 2008 |
| Last updated | May 2, 2015 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PH.D. |
| Practice address |
2511 DORA AVE Tavares, FL 32778 (352) 508-5399 Fax (917) 677-7121 |
| Other identifiers |
008648900
· Medicaid (FL) 004105100 · Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 0 | 1 | 4 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 0 | 1 | 8 | 4 | 3 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.