Active NPI
Ivonne Rubio
- School Psychologist
- Santa Rosa, CA
National Provider Identifier
1063974210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 246 Brittain LN
Santa Rosa, CA 95401-5810 - Phone
- (707) 525-8350
- NPI assigned
- Apr 4, 2019
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
246 Brittain LN
Santa Rosa, CA 95401-5810
Mailing address
1465 Beachwood Dr Apt B
Santa Rosa, CA 95407-7063
Phone (760) 620-1554
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1063974210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 BEACHWOOD DR APT B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954077063",
"telephone_number": "760-620-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 BRITTAIN LN",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015810",
"telephone_number": "707-525-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO",
"first_name": "IVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.