Rubedo Transitions LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RUBEDO TRANSITIONS LLC

Doing business as

Rubedo Transitions

Practice address

20 Fairfield Hill Rd
Kennebunkport, ME 04046-5222

Phone

(800) 560-9941

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Gelles, PSY.D.NPI 1770643553

Title

Owner

Phone

(917) 225-0383

Specialties & licenses 1

Addresses

Other names 1

• Rubedo Transitions Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Gelles, PSYD

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1770643553
  Authorized official Same address or phone

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1134941115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SOUTH STREET",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052154",
            "telephone_number": "800-560-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FAIRFIELD HILL RD",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465222",
            "telephone_number": "800-560-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEDO TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GELLES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-225-0383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rubedo Transitions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Waylon Holbrook, HEALTH COACH
• Kennebunkport Emergency Medical Ser Incorporated
• Brandy Nicole Moser
• Carinne Osgood
• Julie Powell
• Rita Schlegel, M.S. CCC-SLP
• Mark Daniel Simmons, LCPC/C
• David Laurence Smith, PT
• Town of Kennebunkport Maine
• Richard D Tryon, LCSW

• Mental Illness Community Based Residential Treatment Facility in Kennebunkport, ME
• Providers in Kennebunkport, ME by specialty
• Mental Illness Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.