Active NPI
Douglas Howard Ruben, PH.D.
- Clinical Psychologist
- Okemos, MI
National Provider Identifier
1295818763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005858
- Practice address
- 4211 Okemos Rd Ste 22
Okemos, MI 48864-3287 - Phone
- (517) 347-0944
- Fax
- (517) 347-0944
- NPI assigned
- Oct 20, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005858 | MI | Primary |
Addresses
Primary practice location
4211 Okemos Rd Ste 22
Okemos, MI 48864-3287
Mailing address
4211 Okemos Rd Ste 22
Okemos, MI 48864-3287
Phone (517) 347-0944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140225000084 | MI | Practitioner - Clinical Psychologist | 4789726159 | Practice locations: Okemos, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4211 Okemos Rd
Suite 22
Okemos, MI 48864-3287
Phone (517) 347-0944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005858 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295818763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 OKEMOS RD STE 22",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643287",
"telephone_number": "517-347-0944",
"fax_number": "517-347-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 OKEMOS RD STE 22",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643287",
"telephone_number": "517-347-0944",
"fax_number": "517-347-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEN",
"first_name": "DOUGLAS",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "005858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.