Organization Active NPI

Cynthia Last Rubin, PHD, PA

  • Adolescent and Children Mental Health Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1477827848
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PY4425 Issued in FL
Legal business name
CYNTHIA LAST RUBIN, PHD, PA
Practice address
2499 Glades Rd
Boca Raton, FL 33431-7209
Phone
(561) 955-1200
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Cynthia Last Rubin, PHD
Title
President
Phone
(561) 716-1262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PY4425 FL
Adolescent and Children Mental Health Clinic/Center 261QM0855X PY4425 FL Primary

Addresses

Primary practice location

2499 Glades Rd
Boca Raton, FL 33431-7209

Mailing address

10746 Stonebridge Blvd
Boca Raton, FL 33498-6413

National Provider Directory

National Provider Directory

Locations

2499 Glades Rd
Boca Raton, FL 33431
Phone (561) 955-1200

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1477827848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10746 STONEBRIDGE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317209",
            "telephone_number": "561-955-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA LAST RUBIN, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LAST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-716-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY4425",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "PY4425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.