Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Terry Lee Rudolph, PH.D

Clinical Psychologist in Roseville, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154320489

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Registry record

Entity type Individual (Type 1)

Name Dr. Terry Lee Rudolph

Credential PH.D

Sex Male

Practice address 25779 Kelly Road, Roseville, MI, 48066

Phone (586) 774-7987

Fax (586) 774-7263

Enumeration date Jul 19, 2005

Last updated in NPPES Mar 8, 2011

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License 6301003357 (MI) Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 003357 (MI) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
68-0-E0-4564-0	Other	MI	BLUE CROSS/BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Terry Rudolph practice?

The practice location on file with NPPES is in Roseville, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Terry Rudolph?

The National Provider Identifier (NPI) for Terry Rudolph is 1154320489, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-08.