Active NPI
Dana Sue Rubin, MD
- Child & Adolescent Psychiatry Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 72190
- Practice address
- 850 Harrison Ave
Dowling 9
Boston, MA 02118-4001 - Phone
- (617) 414-5245
- Fax
- (617) 638-6836
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 72190 | MA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 72190 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Dowling 9
Boston, MA 02118-4001
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110056241A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 414-5245
1353 Dorchester Ave
Dorchester, MA 02122-2932
Phone (617) 288-3230
85 E Newton St
Suite 905
Boston, MA 02118-2340
Phone (617) 414-5245
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72190 | MA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothouse Health Inc. | Current | Accepting new patients | |
| Boston University Psychiatry Associates, Inc. | Child & Adolescent Psychiatry | Current | Accepting new patients |
Locations
85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245
1353 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-3230
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245
Interoperability endpoints
- drubin11923@direct.bmc.masshiway.net
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.
-
- Psychiatry Physician
- Boston, MA
- NPI 1073619854
Child & Adolescent Psychiatry
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1578514733
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1598725582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "DOWLING 9",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-5245",
"fax_number": "617-638-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "DANA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "72190",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "72190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110056241A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.