Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Phillip D. Ruppert, PHD

Individual provider Clinical Neuropsychologist · NPI 1861771206

Dr. Phillip D. Ruppert, PHD is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 2011, 15 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
15
Licensed in
IL, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone: (314) 577-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 S State Route 157, Edwardsville, IL 62025-3846 — (618) 391-4021

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2014031617 (MO)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 071009269 (IL)

Record details

NPI number1861771206
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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