Individual provider Active NPI

Elyse S. Rubenstein, MD

  • Psychiatry Physician
  • Devon, PA
National Provider Identifier
1245369297
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD034864-E Issued in PA
Practice address
185 Ladderback LN.
Devon, PA 19333
Phone
(610) 254-8515
Fax
(610) 341-0584
NPI assigned
Mar 5, 2007
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X MD034864E PA
Psychiatry Physician 2084P0800X MD034864-E PA Primary

Addresses

Primary practice location

185 Ladderback LN.
Devon, PA 19333

Mailing address

185 Ladderback LN.
Devon, PA 19333
Phone (610) 254-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000053 PA Practitioner - Addiction MedicinePractitioner - Psychiatry 5799842720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 S 3Rd St
Oxford, PA 19363-1601
Phone (610) 444-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD034864EPAMDAddiction (Substance Use Disorder) Psychologist
MD034864-EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services Current Accepting new patients
LCH Health and Community Services CurrentSince Apr 14, 2025 Accepting new patients
LCH Health and Community Services CurrentSince Apr 14, 2025 Accepting new patients
Main Line Healthcare CurrentSince Apr 15, 2015 Accepting new patients
Main Line Affiliates Psychiatry Past Accepting new patients
Horizon House, Inc. Past Accepting new patients
Horizon House - Delaware Inc Past Accepting new patients

Locations

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

414 Paoli Pike
Malvern, PA 19355
Phone (484) 596-5254

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

Organizations & group practices 7

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1245369297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LADDERBACK LN.",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "19333",
            "telephone_number": "610-254-8515",
            "fax_number": "610-341-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 LADDERBACK LN.",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "19333",
            "telephone_number": "610-254-8515",
            "fax_number": "610-341-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "ELYSE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "MD034864E",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD034864-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devon, PA

Sources for this page

Verify at the official NPI Registry.