Active NPI
Ronald Rubin, M.D.
- Psychiatry Physician
- Kenosha, WI
National Provider Identifier
1598834574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36298
- Practice address
- 3734 7TH Ave Ste 12
Kenosha, WI 53140-5525 - Phone
- (262) 654-9370
- Fax
- (262) 654-9379
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36298 | WI | Primary |
Addresses
Primary practice location
3734 7TH Ave Ste 12
Kenosha, WI 53140-5525
Mailing address
13128 N Fox Hollow Rd
Mequon, WI 53097-1805
Phone (262) 654-9370
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aalto Enhancement Center, S.C. | Past | Accepting new patients | |
| Apps Chiropractic and Wellness Center Inc | Past | Accepting new patients | |
| Spectrum Healthcare, LLC | Psychiatry | Past | Accepting new patients |
| Kettle Moraine Counseling LLC | Past | Accepting new patients | |
| Horizon Healthcare, Inc | Past | Accepting new patients | |
| Affiliated Clinical Services Inc | Past | Accepting new patients |
Organizations & group practices 6
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)
- Kenosha, WI
- NPI 1629155973
-
- Multi-Specialty Clinic/Center
- West Bend, WI
- NPI 1851473698
-
- Chiropractor
- Wauwatosa, WI
- NPI 1336276625
-
- Mental Health Counselor
- Greenfield, WI
- NPI 1043234628
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Bend, WI
- NPI 1568790954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598834574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13128 N FOX HOLLOW RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530971805",
"telephone_number": "262-654-9370",
"fax_number": "262-654-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 7TH AVE STE 12",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531405525",
"telephone_number": "262-654-9370",
"fax_number": "262-654-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "RONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "36298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.