Active NPI
Stanley David Rubinstein, PHD
- Psychologist
- Milwaukee, WI
National Provider Identifier
1316968837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1584-057
- Practice address
- 6040 W Lisbon Ave
Milwaukee, WI 53210-2116 - Phone
- (414) 871-9111
- Fax
- (414) 871-9121
- NPI assigned
- Jul 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1584-057 | WI | |
| Psychologist | 103T00000X | 1584-057 | WI | Primary |
Addresses
Primary practice location
6040 W Lisbon Ave
Milwaukee, WI 53210-2116
Mailing address
6040 W Lisbon Ave
Milwaukee, WI 53210-2116
Phone (414) 871-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39096800 | Medicaid | WI |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1584-057 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1316968837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102116",
"telephone_number": "414-871-9111",
"fax_number": "414-871-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102116",
"telephone_number": "414-871-9111",
"fax_number": "414-871-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINSTEIN",
"first_name": "STANLEY",
"middle_name": "DAVID",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1584-057",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1584-057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39096800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.