Miriam E Rubino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT126411 Issued in CA

Practice address

13925 San Pablo Ave Ste 203
San Pablo, CA 94806-3676

Phone

(415) 954-2133

NPI assigned

Sep 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Child Therapy Institute of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Pablo, CA
  • NPI 1730662818
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1487139390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949780075",
            "telephone_number": "415-712-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 SAN PABLO AVE STE 203",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063676",
            "telephone_number": "415-954-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 Lincoln Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012084",
            "country_code": "US",
            "telephone_number": "415-456-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "MIRIAM",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT109272",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109272",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT126411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areli Rodriguez Hernandez
• Bryan Daniel Rodriguez
• Christina Crystal Rodriguez
• Joshua Benjamin Abillar Rosales, DDS
• Otis Eugene Rounds, MD
• Esther Ruiz
• Jennifer Ruiz
• Mary Ruiz
• Theresa Russell Greenwood
• Michelle Russell

• Marriage & Family Therapist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.