Organization Active NPI

Gerolescence Inc

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1285815035
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6827 Issued in NV
Legal business name
GEROLESCENCE INC
Practice address
781 Mill St
Reno, NV 89502-1320
Phone
(775) 329-1019
Fax
(775) 329-1564
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Steven E Rubin, M.D.
Title
President
Phone
(775) 329-1019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 6827 NV Primary

Addresses

Primary practice location

781 Mill St
Reno, NV 89502-1320

Mailing address

3495 Lakeside Dr
#176
Reno, NV 89509-4841
Phone (775) 329-1019

Other identifiers 1

IdentifierTypeStateIssuer
002016985MedicaidNV

Other names 1

  • Steven E. Rubin M.D. Other name

National Provider Directory

National Provider Directory

Locations

6119 Ridgeview Ct
Ste 300
Reno, NV 89519
Phone (775) 827-9900

3105 Plumas St
Reno, NV 89509
Phone (775) 828-5000

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1285815035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR",
            "address_2": "#176",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-329-1019",
            "fax_number": "775-329-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021320",
            "telephone_number": "775-329-1019",
            "fax_number": "775-329-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROLESCENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-329-1019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016985",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven E. Rubin M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.