Rut Gubkin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18380 Issued in CA

Practice address

1350A Solano Avenue
Albany, CA 94706

Phone

(510) 524-5450

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 21, 2017 through Nov 21, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rut Gubkin, PHD., a Psychological Corporation

  • Clinical Psychologist
  • Albany, CA
  • NPI 1891513859
  NPD Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1689791964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350A SOLANO AVENUE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "510-524-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350A SOLANO AVENUE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "510-524-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBKIN",
        "first_name": "RUT",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY18380",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 20078",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanmarie Grieco, MA
• Marissa Grimes
• Tedra Grogans
• Jonothon E Gross, MD
• Miriam Gross, LCSW
• Margaret Ann Guertin, PH.D.
• Valerie Gutierrez-Poquiz, DDS
• Suzanne Barbara Haas-Lyon, PH.D.
• Andrew Halton, OD
• Suzanne Hamilton

• Clinical Psychologist in Albany, CA
• Providers in Albany, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.