Elizabeth Gayle Rubel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 20043 Issued in CA

Practice address

8 Diane LN
Larkspur, CA 94939-1516

Phone

(415) 608-7323

NPI assigned

Feb 16, 2007

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Betsy Gayle Corrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1063556553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DIANE LN",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391516",
            "telephone_number": "415-608-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DIANE LN",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391516",
            "telephone_number": "415-608-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "ELIZABETH",
        "middle_name": "GAYLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-06-04",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20043",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "CORRIN",
            "middle_name": "GAYLE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald R. Ward, M.D., F.a.C.S.
• Edgar Dario Rondon, MSW
• David W Rose, DC CHIROPRACTOR
• Ross Valley Paramedic Authority
• Johannes Petrus Roux, PHD LMFT
• Sarah Marie Rubin, PA-C
• Lia Rudnick, PH.D.
• Jay R Salzman
• Mario Santi, PHARMD
• Stephen Albert Santucci Jr., M.D.

• Clinical Psychologist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.