Active NPI
Marietta Louise Rubien, LCSW
- Psychologist
- Citrus Heights, CA
National Provider Identifier
1033282488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LCS18904
- Practice address
- 8084 Old Auburn Rd
Suite C
Citrus Heights, CA 95610 - Phone
- (916) 723-9773
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 | LCS18904 | CA | Primary |
Addresses
Primary practice location
8084 Old Auburn Rd
Suite C
Citrus Heights, CA 95610
Mailing address
8033 Glen Park Ave
Citrus Heights, CA 95610
Phone (916) 723-8773
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 |
|---|---|---|---|
| LCS18904 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light of Hope Agency | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Citrus Heights, CA
- NPI 1952515652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033282488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8033 GLEN PARK AVE",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95610",
"telephone_number": "916-723-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8084 OLD AUBURN RD",
"address_2": "SUITE C",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95610",
"telephone_number": "916-723-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIEN",
"first_name": "MARIETTA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LCS18904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.