Avery Rubin PH D PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004523 Issued in FL

Legal business name

AVERY RUBIN PH D PA

Practice address

22047 State Road 7
Boca Raton, FL 33428-4219

Phone

(954) 695-3227

Fax

(954) 472-3710

NPI assigned

May 24, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avery Rubin, PH.D.NPI 1891741674

Title

President

Phone

(954) 695-3227

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avery Rubin, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1891741674
  Authorized official Same address or phone

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1265487243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 NW 14TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226607",
            "telephone_number": "954-695-3227",
            "fax_number": "954-472-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22047 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "954-695-3227",
            "fax_number": "954-472-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY RUBIN PH D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-695-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diana Avakyan, PA-C MS
• Avante at Boca Raton, Inc.
• Peter Artie Averkiou, MD
• Eduardo Theodore Aversano, ACUPINCTURIST
• Kalianna Marie Aviles
• Aviva at Home Inc
• Aviva Home Care, LLC
• Ashley Avril, LMT
• Avs Dental Lounge PA

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.