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

Mr. Ellery Philip Ruiz Jr.

Individual provider Mental Health Counselor · NPI 1164203097

Mr. Ellery Philip Ruiz Jr. is a Mental Health Counselor in Santa Clara, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

3311 Kifer Rd
Santa Clara, CA 95051-0708
Phone: (510) 424-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164203097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

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