Organization Active NPI

Eva K. Rubin, Licensed Clinical Social Worker, Inc.

Doing business as Wellness Online Therapy

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1396417218
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVA K. RUBIN, LICENSED CLINICAL SOCIAL WORKER, INC.
Doing business as
Wellness Online Therapy
Practice address
230 N Mar Vista Ave
Pasadena, CA 91106-1411
Phone
(510) 858-7877
Fax
(888) 425-0567
NPI assigned
Sep 29, 2021
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Ms. Eva K. Rubin, MPH, LCSWNPI 1427256049
Title
President
Phone
(510) 858-7877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

230 N Mar Vista Ave
Pasadena, CA 91106-1411

Mailing address

230 N Mar Vista Ave
Pasadena, CA 91106-1411
Phone (510) 858-7877

Other names 1

  • Wellness Online Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1396417218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061411",
            "telephone_number": "510-858-7877",
            "fax_number": "888-425-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061411",
            "telephone_number": "510-858-7877",
            "fax_number": "888-425-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA K. RUBIN, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-858-7877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Online Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Online Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.