Adrian Michelle Camargo Rubly, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32146 Issued in CA

Practice address

13051 Central Ave
Chino, CA 91710-4124

Phone

(951) 422-2941

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Esperanza Ranch Psychology Services Corporation

  • Clinical Psychologist
  • Ontario, CA
  • NPI 1659906790
  NPD
• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  NPD
• Psychological Assessment Services

  • Group Psychotherapy Psychologist
  • Santa Ana, CA
  • NPI 1801059597
  NPD (past)
• Psychological Assessment Services

  • Clinical Psychologist
  • Santa Ana, CA
  • NPI 1982895421
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1447623657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE STE 102-249",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "951-422-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104124",
            "telephone_number": "951-422-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO RUBLY",
        "first_name": "ADRIAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Institue for Men
• California Institute for Men Phcy
• California Nursing Care Services, Inc.
• Natalie Rose Camacho
• Christopher Armando Camarena
• Caitlyn Camargo, PA-C
• Amy Cameron, PMHNP-BC
• Liza Noemi Campos, LMFT113256
• Guillermo Alberto Canjura Jr., D.D.S
• Karen Soledad Cano

• Clinical Psychologist in Chino, CA
• Providers in Chino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.