Active NPI
Joseph E. Rubin, MD
- Psychiatry Physician
- Portland, ME
National Provider Identifier
1295747798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD8039
- Practice address
- 121 Middle St
Portland, ME 04101-7123 - Phone
- (207) 772-8634
- Fax
- (207) 772-1629
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD8039 | ME | Primary |
Addresses
Primary practice location
121 Middle St
Portland, ME 04101-7123
Mailing address
121 Middle St
Portland, ME 04101-7123
Phone (207) 772-8634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220720099 | Medicaid | ME |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8039 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1295747798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MIDDLE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041017123",
"telephone_number": "207-772-8634",
"fax_number": "207-772-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MIDDLE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041017123",
"telephone_number": "207-772-8634",
"fax_number": "207-772-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "JOSEPH",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "MD8039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220720099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.