Active NPI
Stephen M Rubbicco
- Counselor
- Somerville, MA
National Provider Identifier
1508091943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 167 Holland St
Room 133
Somerville, MA 02144-2401 - Phone
- (617) 629-6668
- Fax
- (617) 625-6339
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
167 Holland St
Room 133
Somerville, MA 02144-2401
Mailing address
128 Pleasant St
Unit 61
Arlington, MA 02476-8170
Phone (617) 629-6668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerville Mental Health Association, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Somerville, MA
- NPI 1871765644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1508091943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 PLEASANT ST",
"address_2": "UNIT 61",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024768170",
"telephone_number": "617-629-6668",
"fax_number": "617-625-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 HOLLAND ST",
"address_2": "ROOM 133",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442401",
"telephone_number": "617-629-6668",
"fax_number": "617-625-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBBICCO",
"first_name": "STEPHEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.