Mark Leslie Rubin, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

18801 Issued in AZ

Practice address

2020 S. McClintock Dr.#105
Tempe, AZ 85282

Phone

(480) 284-7304

Fax

(480) 284-7616

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ariand PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1851128623
  NPD (past)
• Faspsych, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1831682111
  NPD (past)
• Mingus Mountain Estate Residencial Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1891324711
  NPD (past)
• Mingus Mountain Estate Residential Center Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott Valley, AZ
  • NPI 1356358519
  NPD (past)
• Sequelcare of Arizona

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1679809636
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194749341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11417",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840024",
            "telephone_number": "480-284-7304",
            "fax_number": "480-284-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S. MCCLINTOCK DR.#105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-284-7304",
            "fax_number": "480-284-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARK",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "AZ",
            "license": "18801",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "18801",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431982",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194749341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Ryan Roybal, DDS
• Terrianne Roza, M.C., L.P.C.
• Theophano Lykos Rozan, SLPA
• Spencer Ruben, DO
• Anthony Leo Rubin, MA
• Kiana Rose Ruch, ND
• Thomas Ruderstaller, LPC
• Kristy Ann Ruidiaz, RN
• Leytocha Evette Ruinard, N.D.
• Dale Todd Ruiter, P.T.

• Child & Adolescent Psychiatry Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.