Samuel Aaron Rubenzahl, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013725 Issued in NY

Practice address

7550 S State St
Lewis County Community Mental Health Center
Lowville, NY 13367-1533

Phone

(315) 376-5450

Fax

(315) 376-5501

NPI assigned

May 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rubenzahl, Knudsen and Associates Psych., Srvcs, P.C.Group PAC ID 2860461076, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rubenzahl, Knudsen & Associates Psych., Srvcs, P.C.

  • Psychologist
  • Watertown, NY
  • NPI 1578552170
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770539454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S STATE ST",
            "address_2": "LEWIS COUNTY COMMUNITY MENTAL HEALTH CENTER",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671533",
            "telephone_number": "315-376-5450",
            "fax_number": "315-376-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S STATE ST",
            "address_2": "LEWIS COUNTY COMMUNITY MENTAL HEALTH CENTER",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671533",
            "telephone_number": "315-376-5450",
            "fax_number": "315-376-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENZAHL",
        "first_name": "SAMUEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Roggie, FNP-C
• Nichole Roggie, FNP-C
• Daniel Timothy Root, MD
• David F Rosner, MD
• Paeton Rowsam, LMSW
• Nicole M. Ryan, MASTER SOCIAL WORKER
• Nicole Sadowski, RN
• Allison Lynn Sammis, RPH
• Garth P Sanford
• Jane M Sanford

• Psychologist in Lowville, NY
• Providers in Lowville, NY by specialty
• Psychologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.