NPI 1376617449 · live from the CMS NPI Registry
Ruth Mize Myers, MD
Psychiatry & Neurology, Psychiatry in Burnsville, MN. National Provider Identifier 1376617449, active.
NPI record
| NPI | 1376617449 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 14300 Nicollet Court, Suite 207, Burnsville, MN 55306 |
| Practice phone | 952-898-7578 |
| Mailing address | 14300 Nicollet Ct Ste 207, Burnsville, MN 55306 |
| Enumerated | November 20, 2006 |
| Last updated | September 17, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | MED-PHYS-LIC-127159 (MT) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 49578 (MN) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 49576 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.