Active NPI
Robin Addell Rudic, LCSW
- School Psychologist
- Tucson, AZ
National Provider Identifier
1235111675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3783803
- Practice address
- 1010 E 10TH St
Tucson, AZ 85719-5813 - Phone
- (520) 225-6410
- Fax
- (520) 225-6410
- NPI assigned
- Nov 18, 2005
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3783803 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | CW013180 | PA |
Addresses
Primary practice location
1010 E 10TH St
Tucson, AZ 85719-5813
Mailing address
7990 E Snyder Rd
2104
Tucson, AZ 85750-6530
Phone (520) 760-0482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132932 | Medicaid | AZ | |
| 00664199 | Other | PA | HIGHMARK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3783803 | AZ | MD | School Psychologist |
| CW013180 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- robinrudic@tdh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1235111675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7990 E SNYDER RD",
"address_2": "2104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506530",
"telephone_number": "520-760-0482",
"fax_number": "520-760-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E 10TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195813",
"telephone_number": "520-225-6410",
"fax_number": "520-225-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDIC",
"first_name": "ROBIN",
"middle_name": "ADDELL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3783803",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132932",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "00664199",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.