Active NPI
Mikael Rubin, PHD
- Psychologist
- Palo Alto, CA
National Provider Identifier
1245065382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35280
- Practice address
- 1791 Arastradero Rd
Palo Alto, CA 94304-1337 - Phone
- (650) 433-3805
- NPI assigned
- Sep 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35280 | CA | Primary |
Addresses
Primary practice location
1791 Arastradero Rd
Palo Alto, CA 94304-1337
Mailing address
1791 Arastradero Rd
Palo Alto, CA 94304-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 30, 2024 through Oct 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1245065382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 ARASTRADERO RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 ARASTRADERO RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041337",
"telephone_number": "650-433-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "MIKAEL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.