Individual provider Active NPI

Rebecca Salvato Ruberg, PH.D.

  • Clinical Psychologist
  • Rolling Hills Estates, CA
National Provider Identifier
1811184641
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23853 Issued in CA
Practice address
4030 Palos Verdes Dr N Ste 106
Rolling Hills Estates, CA 90274-2560
Phone
(323) 325-1566
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23853 CA Primary
School Psychologist 103TS0200X 060282014 CA

Addresses

Primary practice location

4030 Palos Verdes Dr N Ste 106
Rolling Hills Estates, CA 90274-2560

Mailing address

4030 Palos Verdes Dr N Ste 106
Rolling Hills Estates, CA 90274-2560
Phone (323) 325-1566

Other practice location 1

2510 Main St
Suite 201
Santa Monica, CA 90405-3535
Phone (323) 325-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200720000950 CA Practitioner - Clinical Psychologist 1254755606 Reassigns benefits to 1 organization
Practice locations: Rolling Hills Estates, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4030 Palos Verdes Dr N
Suite 106
Rolling Hills Estates, CA 90274-2560
Phone (323) 325-1566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23853CAMDClinical Psychologist
060282014CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca CurrentSince May 1, 2025 Accepting new patients

Locations

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1811184641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PALOS VERDES DR N STE 106",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742560",
            "telephone_number": "323-325-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PALOS VERDES DR N STE 106",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742560",
            "telephone_number": "323-325-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Main St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053535",
            "country_code": "US",
            "telephone_number": "323-325-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBERG",
        "first_name": "REBECCA",
        "middle_name": "SALVATO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23853",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "060282014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.