Organization Active NPI

Ruben Psych, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1003641770
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RUBEN PSYCH, LLC
Doing business as
Ruben Psych, LLC
Practice address
5345 Ortega Blvd Ste 1
Jacksonville, FL 32210-8443
Phone
(904) 338-8771
NPI assigned
Sep 3, 2024
Organization subpart
Yes
Parent organization
DANIELLE RUBENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle L Ruben, PMHNP-BCNPI 1932766623
Title
Aprn
Phone
(904) 761-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5345 Ortega Blvd Ste 1
Jacksonville, FL 32210-8443

Mailing address

5345 Ortega Blvd Ste 1
Jacksonville, FL 32210-8443
Phone (904) 338-8771

Other names 1

  • Ruben Psych, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Ruben Psych LLC

Locations

5345 Ortega Blvd
Ste 1
Jacksonville, FL 32210
Phone (904) 338-8771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1003641770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 ORTEGA BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108443",
            "telephone_number": "904-338-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 ORTEGA BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108443",
            "telephone_number": "904-338-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN PSYCH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIELLE RUBEN",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "RUBEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "904-761-1960",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruben Psych, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.