Pooja Rupani

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30222 Issued in CA

Practice address

39465 Paseo Padre Pkwy
Ste 2100
Fremont, CA 94538

Phone

(925) 223-8047

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

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.

• Portia Bell Hume Behavioral Health and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
  • NPI 1760489439
  Medicare reassignment NPD
• Portia Bell Hume Behavioral Health & Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, CA
  • NPI 1083060990
  NPD
• Portia Bell Hume Behavioral Health and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pleasanton, CA
  • NPI 1548536287
  NPD

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1447701677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY, STE 2100",
            "address_2": "THE PORTIA BELL HUME BEHAVIORAL HEALTH &TRAINING CENTER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY",
            "address_2": "STE 2100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "925-223-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPANI",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30222",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ruiz
• Isabella Maria Ruiz
• Nancy Ruiz
• Valerie Naomi Ruiz
• Veronica Runyan
• Romarre Damin Djomo Rushing
• Melissa Rustia, R.N.
• Valerie Rutenburg
• Graciela Ruvalcaba
• Catrina M Ruybal

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.