Rubino and Reynolds Psychology Group LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

0904009717 Issued in VA

Legal business name

RUBINO AND REYNOLDS PSYCHOLOGY GROUP LLC

Practice address

9840 Main St Ste 201
Fairfax, VA 22031-3909

Phone

(703) 547-3509

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jade RubinoNPI 1821434481

Title

Co-Owner

Phone

(703) 547-3509

Specialties & licenses 1

Addresses

Tax ID family

Reynolds and Rubino Psychology Grou2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reynolds & Rubino Psychology Group, LLC

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1427448638
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jade Tiu Rubino, PSY.D.

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1821434481
  Authorized official Same address or phone
• Erin Abbott

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1053855874
  NPD (past)
• Leslie Ann Hawkins, PSY.D

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1477833168
  NPD (past)

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1629513957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "703-547-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINO AND REYNOLDS PSYCHOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "RUBINO",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "703-547-3509"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "VA",
            "license": "0904009717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Royfe, MS RD
• Maryann G Rozzell, MA, LPT
• Paul Ruberg
• Carole Z Rubin, MD
• Catherine Rubin, ATR-BC
• Jade Tiu Rubino, PSY.D.
• Mark I Rubinstein, M.D.
• Laurentia Meade Ruby, PSY.D.
• Shelby Rucker, LCSW
• Jordan Rudat

• Contractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.