Active NPI
Roy Ronold Rubnke, PHD
- Psychologist
- Saint Joseph, MO
National Provider Identifier
1629088398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01027
- Practice address
- 510 Francis
Ste 200
St Joseph, MO 64501 - Phone
- (916) 364-1501
- Fax
- (816) 364-6735
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01027 | MO | Primary |
Addresses
Primary practice location
510 Francis
Ste 200
St Joseph, MO 64501
Mailing address
510 Francis
Ste 200
St Joseph, MO 64501
Phone (916) 364-1501
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629088398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 FRANCIS",
"address_2": "STE 200",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "64501",
"telephone_number": "916-364-1501",
"fax_number": "816-364-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 FRANCIS",
"address_2": "STE 200",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "64501",
"telephone_number": "916-364-1501",
"fax_number": "816-364-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBNKE",
"first_name": "ROY",
"middle_name": "RONOLD",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
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.