NPIMap

Organization Active NPI

Reynolds & Rubino Psychology Group, LLC

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1427448638
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004777 Issued in VA
Legal business name
REYNOLDS & RUBINO PSYCHOLOGY GROUP, LLC
Practice address
10301 Democracy LN Ste 201
Fairfax, VA 22030-2545
Phone
(703) 547-3509
Fax
(703) 383-3887
NPI assigned
Jan 26, 2015
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Jade Tiu Rubino, PSY.D.NPI 1821434481
Title
Co-Owner/Clin Psychologist
Phone
(703) 547-3509

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 Psychologist 103TC0700X 0810004777 VA Primary
Clinical Psychologist 103TC0700X 081004478 VA

Addresses

Primary practice location

10301 Democracy LN Ste 201
Fairfax, VA 22030-2545

Mailing address

10301 Democracy LN Ste 201
Fairfax, VA 22030-2545
Phone (703) 547-3509

National Provider Directory

National Provider Directory
Tax ID family
Reynolds and Rubino Psychology Grou2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10301 Democracy Ln
Ste 201
Fairfax, VA 22030
Phone (703) 547-3509

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1427448638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-547-3509",
            "fax_number": "703-383-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-547-3509",
            "fax_number": "703-383-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS & RUBINO PSYCHOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "RUBINO",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "TIU",
        "authorized_official_title_or_position": "CO-OWNER/CLIN PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-547-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004777",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "081004478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.