Active NPI
Robert K Carrubba, PHD
- Psychologist
- Columbia, MD
National Provider Identifier
1750654778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1000179
- Practice address
- 5570 Sterrett Place
#106
Columbia, MD 21044-2641 - Phone
- (443) 465-4214
- NPI assigned
- Feb 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1000179 | DC | Primary |
| Psychologist | 103T00000X | 1165 | MD |
Addresses
Primary practice location
5570 Sterrett Place
#106
Columbia, MD 21044-2641
Mailing address
5570 Sterrett Place
#106
Columbia, MD 21044-2641
Phone (443) 465-4214
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 |
|---|---|---|---|
| PSY1000179 | DC | MD | Psychologist |
| 1165 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1750654778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 STERRETT PLACE",
"address_2": "#106",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442641",
"telephone_number": "443-465-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 STERRETT PLACE",
"address_2": "#106",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442641",
"telephone_number": "443-465-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUBBA",
"first_name": "ROBERT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1000179",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "1165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.