Active NPI
James Rubin-Perez, PSY.D.
- Psychologist
- Huntington, NY
National Provider Identifier
1003354069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017303
- Practice address
- 23 Barrow CT
Huntington, NY 11743-4117 - Phone
- (516) 241-3905
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017303 | NY | Primary |
Addresses
Primary practice location
23 Barrow CT
Huntington, NY 11743-4117
Mailing address
23 Barrow CT
Huntington, NY 11743-4117
Phone (516) 241-3905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017303 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1003354069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BARROW CT",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434117",
"telephone_number": "516-241-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BARROW CT",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434117",
"telephone_number": "516-241-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN-PEREZ",
"first_name": "JAMES",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.