Brittany Nicole Rubin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005628 Issued in CO

Practice address

2429 Broadway St
Boulder, CO 80304-4108

Phone

(720) 739-6500

NPI assigned

Sep 20, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Boulder Integrated Health LLC

  • Substance Abuse Rehabilitation Facility
  • Boulder, CO
  • NPI 1376093898
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1447920434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 COLORADO BLVD APT 5418",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064092",
            "telephone_number": "215-805-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044108",
            "telephone_number": "720-739-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brubin@boulderiop.com",
            "affiliation": "N",
            "endpointDescription": "BIH Email Address",
            "address_1": "2429 Broadway St",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803044108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chris Morton Rowinski
• Caroline Marie Roy, LCSW
• Christina Roy, DIPL. O.M., LISC. AC
• Julian Royce, MA
• Jason Edward Rozeski
• Deborah Rubin, LCSW
• Alana Michelle Rubinsky
• Emily Jane Rucker, D.C.
• Alyssa Rudawsky, LCSW
• Tammy Rene Ruddick, PHARM. D

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.