NPIMap

Individual provider Active NPI

John Gerard Rubel, PSY.D.

  • Clinical Psychologist
  • Pflugerville, TX
National Provider Identifier
1245304245
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23722 Issued in TX
Practice address
15901 Central Commerce Dr
BLGD. 3, Suite 301
Pflugerville, TX 78660-2041
Phone
(512) 586-7275
NPI assigned
Nov 20, 2006
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23722 TX
Addiction (Substance Use Disorder) Psychologist 103TA0400X 23722 TX
Clinical Psychologist 103TC0700X 23722 TX Primary
Clinical Child & Adolescent Psychologist 103TC2200X 23722 TX
Health Service Psychologist 103TH0100X 23722 TX
Group Psychotherapy Psychologist 103TP2701X 23722 TX

Addresses

Primary practice location

15901 Central Commerce Dr
BLGD. 3, Suite 301
Pflugerville, TX 78660-2041

Mailing address

PO Box 2738
Pflugerville, TX 78691-2738
Phone (512) 743-3348

Other identifiers 1

IdentifierTypeStateIssuer
0093ESOtherTXBCBS PROVIDER IDENTIFICAT

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

LicenseStateTypeSpecialty
23722TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Consultants Psychologist Past Accepting new patients

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1245304245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786912738",
            "telephone_number": "512-743-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 CENTRAL COMMERCE DR",
            "address_2": "BLGD. 3, SUITE 301",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602041",
            "telephone_number": "512-586-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23722",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "23722",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23722",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "23722",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "23722",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "23722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER IDENTIFICAT",
            "identifier": "0093ES",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.