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

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.

Title

President

Phone

(954) 695-3227

Specialties & licenses 1

Addresses

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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• 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.