Noelle Ruth Rubalcava, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4016 Issued in CA

Practice address

765 San Diego Rd
Berkeley, CA 94707-2025

Phone

(510) 910-3222

Fax

(510) 680-1189

NPI assigned

Dec 20, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• School Psychology Group, Inc.

  • School Psychologist
  • Berkeley, CA
  • NPI 1710647680
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1851051726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 SAN DIEGO RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072025",
            "telephone_number": "510-910-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 SAN DIEGO RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072025",
            "telephone_number": "510-910-3222",
            "fax_number": "510-680-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBALCAVA",
        "first_name": "NOELLE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "LEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Royle, FNP
• William Rozier
• Leanne Rozner, MFT
• Jessica Ruano
• Jazim Ibrahim Rubaii, M.D.
• Amy Ruben
• Claire S Rubin, MFT
• Jane Rubin, PH.D.
• Lynn Rubin
• Mackenzie Rose Rubin, L.AC.

• School Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.