Active NPI
Ellen E Rubinstein, PSYD
- Clinical Psychologist
- New City, NY
National Provider Identifier
1124189543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0126021
- Practice address
- 20 Squadron Blvd
Suite 470
New City, NY 10956 - Phone
- (845) 639-4980
- Fax
- (845) 369-1301
- NPI assigned
- Dec 12, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0126021 | NY | Primary |
Addresses
Primary practice location
20 Squadron Blvd
Suite 470
New City, NY 10956
Mailing address
20 Squadron Blvd
Suite 470
New City, NY 10956
Phone (845) 639-4980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 28, 2025 through Nov 28, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Medical Park Dr
Suite 102
Pomona, NY 10970-3559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126021 | NY | MD | Clinical Psychologist |
| 012602 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Kasper LCSW PC | 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.
-
- Clinical Social Worker
- New City, NY
- NPI 1770613069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124189543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SQUADRON BLVD",
"address_2": "SUITE 470",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-639-4980",
"fax_number": "845-369-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SQUADRON BLVD",
"address_2": "SUITE 470",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-639-4980",
"fax_number": "845-369-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINSTEIN",
"first_name": "ELLEN",
"middle_name": "E",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0126021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.