Active NPI
Lara Rubinstein, PSY.D.
- Clinical Child & Adolescent Psychologist
- Brockton, MA
National Provider Identifier
1275990293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 10126
- Practice address
- 215 Main St
Brockton, MA 02301-4327 - Phone
- (508) 808-0703
- NPI assigned
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 10126 | MA | Primary |
Addresses
Primary practice location
215 Main St
Brockton, MA 02301-4327
Mailing address
215 Main St
Brockton, MA 02301-4327
Phone (508) 808-0703
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 |
|---|---|---|---|
| 10126 | MA | MD | Clinical Child & Adolescent Psychologist |
Interoperability endpoints
- lararubinstein@ssmh.netsmartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1275990293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014327",
"telephone_number": "508-808-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014327",
"telephone_number": "508-808-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINSTEIN",
"first_name": "LARA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "10126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.