David Rubio Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11904 Issued in FL

Practice address

1465 S Fort Harrison Ave Ste 204
Clearwater, FL 33756-2504

Phone

(727) 746-5812

NPI assigned

Aug 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Thrive Child Psychology PLLC

  • Clinical Child & Adolescent Psychologist
  • Clearwater, FL
  • NPI 1467214890
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1831872704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S FORT HARRISON AVE STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562504",
            "telephone_number": "727-746-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S FORT HARRISON AVE STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562504",
            "telephone_number": "727-746-5812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 E Washington St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617014365",
            "country_code": "US",
            "telephone_number": "309-304-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011243",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Palm Chiropractic LLC
• Amanda Royal
• RTJ DC Inc (Dr. Russell Janssen)
• Molly Gerken Ruane, NP-C
• Kelly Lynn Rubin
• Irvin Manuel Rubio, M.D.
• Michael J. Ruble, PHARM.D.
• Michelle Alyce Rucinski, CRNA, DNP
• Gleice Rudelli
• Christina Rudman, DDS

• Psychologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.