Active NPI
Scott Michael Rubin-Asch, PSYD
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1275847329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2622-57
- Practice address
- 110 W ENT Ave BLDG 725
Colorado Springs, CO 80914-1595 - Phone
- (719) 556-7804
- NPI assigned
- Jul 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SD | ||
| Psychologist | 103T00000X | 001104 | IA | |
| Psychologist | 103T00000X | 2622-57 | WI | Primary |
Addresses
Primary practice location
110 W ENT Ave BLDG 725
Colorado Springs, CO 80914-1595
Mailing address
7511 Coffee Rd
Peyton, CO 80831-6082
Phone (612) 237-5538
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001104 | IA | MD | Psychologist |
| 2622-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1275847329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7511 COFFEE RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808316082",
"telephone_number": "612-237-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W ENT AVE BLDG 725",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141595",
"telephone_number": "719-556-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN-ASCH",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-31",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "001104",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2622-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.