Mary Lou Rubert, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4522 Issued in FL

Practice address

US Government
Human Resource Management
Washington, DC 20505-0001

Phone

(703) 374-1342

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Psychology Services PCGroup PAC ID 5496718793, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Psychology Services PC

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1194818054

  DC

  Medicare reassignment Care Compare group NPD
• Hampton Mental Health Associates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampton, VA
  • NPI 1356432801
  Medicare reassignment NPD

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1427400472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 OLDE TIVERTON CIR",
            "address_2": "APT. 104",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941950",
            "telephone_number": "703-309-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US GOVERNMENT",
            "address_2": "HUMAN RESOURCE MANAGEMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205050001",
            "telephone_number": "703-374-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERT",
        "first_name": "MARY LOU",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irin Rozi
• Linda Rozzelle, RD
• RPS Surgery Center LLC
• RS Davis Health & Wellness, LLC
• Deborah Pauline Rubenstein, MSW, LICSW, LCSW-C
• Lubis Rubi
• Anna K Rubin, MD
• April Rubin, MD
• Ariel Jenny Rahel Rubin
• Asa Rubin

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.

Verify at the official NPI Registry.