Active NPI
Richard Henry Rubes, PHD
- Clinical Psychologist
- Fort Drum, NY
National Provider Identifier
1174539043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P648
- Practice address
- Bldng P11050 Mount Belvedere Blvd
Guthrie Ambulatory Health Clinic
Fort Drum, NY 13602 - Phone
- (315) 772-1074
- Fax
- (315) 772-6229
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- 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 | P648 | TN | Primary |
Addresses
Primary practice location
Bldng P11050 Mount Belvedere Blvd
Guthrie Ambulatory Health Clinic
Fort Drum, NY 13602
Mailing address
Bldng P11050 Mount Belvedere Blvd
Guthrie Ambulatory Health Clinic
Fort Drum, NY 13602
Phone (315) 772-1074
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P648 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1174539043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDNG P11050 MOUNT BELVEDERE BLVD",
"address_2": "GUTHRIE AMBULATORY HEALTH CLINIC",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "13602",
"telephone_number": "315-772-1074",
"fax_number": "315-772-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDNG P11050 MOUNT BELVEDERE BLVD",
"address_2": "GUTHRIE AMBULATORY HEALTH CLINIC",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "13602",
"telephone_number": "315-772-1074",
"fax_number": "315-772-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBES",
"first_name": "RICHARD",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.