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

Mark David Ruiz, PHD

Individual provider Clinical Psychologist · NPI 1669418554

Mark David Ruiz, PHD is a Clinical Psychologist in Gulf Breeze, Florida. Qualified in 2003, 23 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

79 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone: (850) 741-5438
Fax: (850) 726-4784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY10437 (FL)

Record details

NPI number1669418554
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address79 Bay Bridge Dr, Gulf Breeze, FL 32561-4468

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gulf Breeze