Active NPI
Lynne S Rubin, PHD.
- Psychoanalyst
- Nyc, NY
National Provider Identifier
1083149421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- PR015538
- Practice address
- 300 Central Park West
1E
Nyc, NY 10024 - Phone
- (212) 496-7252
- Fax
- (212) 724-3621
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | PR015538 | NY | Primary |
Addresses
Primary practice location
300 Central Park West
1E
Nyc, NY 10024
Mailing address
300 Central Park West
Sutie 1E
Nyc, NY 10024
Phone (212) 496-7252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR015538 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1083149421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CENTRAL PARK WEST",
"address_2": "SUTIE 1E",
"city": "NYC",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-496-7252",
"fax_number": "212-724-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTRAL PARK WEST",
"address_2": "1E",
"city": "NYC",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-496-7252",
"fax_number": "212-724-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "LYNNE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "PR015538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.