Active NPIIndividual provider

Dr. Maryellen Mikoleski Ruth, PSYD

Psychologist, Clinical in Midlothian, Virginia

NPI Number1255739520
Practice location
5153 Craig Rath Blvd, Midlothian, VA 23112-6258
Fax
—
Last updated
August 20, 2026

Maryellen Mikoleski Ruth is a Psychologist, Clinical based in Midlothian, VA. Maryellen Mikoleski Ruth practices in Midlothian, VA and has the professional credentials of PSYD. The NPI Number for Maryellen Mikoleski Ruth is 1255739520 and holds a License No. 3444 (CT). The current practice location address for Maryellen Mikoleski Ruth is 5153 Craig Rath Blvd, Midlothian, VA 23112-6258 and can be reached out via phone at 980-785-1113.

Provider Profile Details

NPI Number
1255739520
Provider Name
Maryellen Mikoleski Ruth
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
5153 Craig Rath Blvd, Midlothian, VA 23112-6258
Phone Number
980-785-1113
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2014
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5153 Craig Rath Blvd
Midlothian, VA 23112-6258
Zip
23112-6258
Phone Number
980-785-1113
Midlothian, VA 23112Get directions →

Provider Business Mailing Address Details

Address
4235 S Stream Blvd Ste 300
Charlotte, NC 28217-0143
City
Charlotte
State
NC
Zip
28217-0143
Phone Number
980-785-1113

License Information

License Number (1)
3444
License State (1)
CT
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
7021
License State (2)
NC
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
0810009026
License State (3)
VA
Taxonomy (3)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Maryellen Mikoleski Ruth, PSYD?

The NPI number of Dr. Maryellen Mikoleski Ruth, PSYD is 1255739520. It was assigned on December 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Maryellen Mikoleski Ruth, PSYD?

Dr. Maryellen Mikoleski Ruth, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 3444.

Where does Dr. Maryellen Mikoleski Ruth, PSYD practice?

The practice location is 5153 Craig Rath Blvd, Midlothian, VA 23112-6258. The office can be reached at 980-785-1113 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255739520 directly on the NPPES registry website.

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