Deirdre Anne Rubino, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020009 Issued in NY

Practice address

7 Midfield St
Stony Brook, NY 11790-2911

Phone

(631) 241-2706

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1538478243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MIDFIELD ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902911",
            "telephone_number": "631-241-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MIDFIELD ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902911",
            "telephone_number": "631-241-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "DEIRDRE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Roush, MD
• Christian Routh, MSN, AGNP-C
• Kerrin Elizabeth Rowe, AGPCNP
• Benjamin William Rubin, MD
• Irina Rubin
• Dina Michele Rucco, PHARMD
• Richard C Rugen, DC
• E. Victoria Rundberg-Rivera, M.D.
• Geoffrey McMillan Russell, MD
• Jessica Holly Russell, CNM

• Speech-Language Pathologist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.