Individual provider Active NPI

Joanne Rubin, PH.D.

  • Clinical Psychologist
  • Hastings on Hudson, NY
National Provider Identifier
1508001819
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01301901 Issued in NY
Practice address
120 Hamilton Ave
120 Hamilton Ave.
Hastings on Hudson, NY 10706-2405
Phone
(914) 310-5447
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 01301901 NY Primary

Addresses

Primary practice location

120 Hamilton Ave
120 Hamilton Ave.
Hastings on Hudson, NY 10706-2405

Mailing address

120 Hamilton Ave
Hastings on Hudson, NY 10706-2405
Phone (914) 310-5447

Other identifiers 2

IdentifierTypeStateIssuer
1508001819OtherNYPNI
01301901OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000437 NY Practitioner - Clinical Psychologist 6901961911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

560 White Plains Rd
Suite 215
Tarrytown, NY 10591-5178
Phone (914) 359-5841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01301901NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC CurrentSince Mar 29, 2010 Accepting new patients
Aging Matters Psychological Services, PC PastSince Mar 1, 2006 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

560 White Plains Rd
Ste 215
Tarrytown, NY 10591
Phone (914) 218-2818

Interoperability endpoints

  • Direct secure messaging: cpa.joannerubin@142175.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1508001819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HAMILTON AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107062405",
            "telephone_number": "914-310-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HAMILTON AVE",
            "address_2": "120 HAMILTON AVE.",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107062405",
            "telephone_number": "914-310-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "01301901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNI",
            "identifier": "1508001819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "01301901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

Verify at the official NPI Registry.