John Tyler Rubin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12065-MH-CC. Issued in MA

Practice address

56 Cherry St FL 3
Brockton, MA 02301-2608

Phone

(508) 580-0801

Fax

(508) 580-0690

NPI assigned

Sep 9, 2016

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay State Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1134126865
  NPD (past)
• Community Counseling of Bristol County Inc

  • Home Health Agency
  • Taunton, MA
  • NPI 1659791515
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1215484969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CHERRY ST FL 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012608",
            "telephone_number": "508-580-0801",
            "fax_number": "508-580-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHERRY ST FL 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012608",
            "telephone_number": "508-580-0801",
            "fax_number": "508-580-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803960",
            "country_code": "US",
            "telephone_number": "508-828-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JOHN",
        "middle_name": "TYLER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12065-MH-CC.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumon Roy, MD
• Kristin Royer
• Linda C. Roza, NP
• Abby Miriam Rozen, MSW
• Sarah Rubenstein, OTR/L
• Rachel Rubin
• Lara Rubinstein, PSY.D.
• Alix Rubio
• Stacey Berry Rucinski, LICSW
• Joseph C. Rucker Jr., LSW

• Mental Health Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.