Illume Psychology Incorporated
NPI 1952070252 · Clinical Child & Adolescent Psychologist · Petaluma, CA
Illume Psychology Incorporated is a Clinical Child & Adolescent Psychologist organization in Petaluma, CA (NPI 1952070252).
Provider details
- NPI number
- 1952070252
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Larissa Laska-Ruebusch, President(707) 216-1612
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Frequently asked questions
- What is Illume Psychology Incorporated's NPI number?
- Illume Psychology Incorporated's National Provider Identifier (NPI) is 1952070252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illume Psychology Incorporated?
- Illume Psychology Incorporated is classified in the NPPES registry as Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Illume Psychology Incorporated located?
- Illume Psychology Incorporated's practice location on file with NPPES is 245 Kentucky Street, Petaluma, CA 94952.
- What is Illume Psychology Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Illume Psychology Incorporated is (707) 216-1612.
- Who is the authorized official for Illume Psychology Incorporated?
- The authorized official listed on Illume Psychology Incorporated's NPPES record is Larissa Laska-Ruebusch, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illume Psychology Incorporated's NPI active?
- Yes — Illume Psychology Incorporated's NPI (1952070252) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.