OrganizationActive
Maxine a Ruddock PHD P a
NPI 1578732632 · Community/Behavioral Health Agency · Tavares, FL
Maxine a Ruddock PHD P a is a Community/Behavioral Health Agency organization in Tavares, FL (NPI 1578732632).
Provider details
- NPI number
- 1578732632
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Maxine Ruddock, Director(352) 508-5399
- License
- PY7658 (FL)
Specialties & taxonomies
Agencies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2511 Dora Ave
Tavares, FL 32778-4977
Phone: (352) 508-5399
Fax: (917) 677-7121
Street-level locationGet directions
Mailing address
2511 Dora Ave
Tavares, FL 32778-4977
Other names (DBA / former)
- Doing business as
- Comprehensive Psychological & Assessment Services
Registry dates
- Enumerated
- 2008-02-22
- Last updated
- 2015-04-27
Frequently asked questions
- What is Maxine a Ruddock PHD P a's NPI number?
- Maxine a Ruddock PHD P a's National Provider Identifier (NPI) is 1578732632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maxine a Ruddock PHD P a?
- Maxine a Ruddock PHD P a is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Maxine a Ruddock PHD P a located?
- Maxine a Ruddock PHD P a's practice location on file with NPPES is 2511 Dora Ave, Tavares, FL 32778-4977.
- What is Maxine a Ruddock PHD P a's phone number?
- The practice phone number listed in the NPPES registry for Maxine a Ruddock PHD P a is (352) 508-5399.
- Who is the authorized official for Maxine a Ruddock PHD P a?
- The authorized official listed on Maxine a Ruddock PHD P a's NPPES record is Maxine Ruddock, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maxine a Ruddock PHD P a's NPI active?
- Yes — Maxine a Ruddock PHD P a's NPI (1578732632) is active in the NPPES registry as of the last update on 2015-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.