Leslie F Rubin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010449 Issued in IL

Practice address

1 E Erie St Ste 525
Chicago, IL 60611-2980

Phone

(312) 869-9887

NPI assigned

Jan 19, 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

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.

• Lakeshore Psychological Services, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1134852635
  NPD Authorized official
• Allow Wellness

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1619365947
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1851981328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525-5270",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "312-869-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "312-869-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LESLIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Lauren Rubin, M.S., CCC-SLP
• Jennifer Rubin, M.A. CCC-SLP
• Jennifer Peak Rubin, M.D.
• Jolie Rubin, LD, RD
• Laurence Hugh Rubin, DDS MSD
• Lucy Anne Rubin
• Marcy Allison Rubin, PSY.D
• Mark N. Rubin, MD
• Micah Rubin
• Michael P Rubin, M.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.