Marlena E. Rupp, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8593 Issued in MA

Practice address

661 Massachusetts Ave Ste 14
Arlington, MA 02476-5001

Phone

(617) 674-0779

Fax

(339) 707-0962

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1881615110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 14",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "617-674-0779",
            "fax_number": "339-707-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 14",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "617-674-0779",
            "fax_number": "339-707-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1683 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024454495",
            "country_code": "US",
            "telephone_number": "617-320-4814",
            "fax_number": "781-648-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPP",
        "first_name": "MARLENA",
        "middle_name": "E.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030050",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W10533",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rothfeld Center for Integrative Medicine
• Glenn S Rothfeld, M.D.
• Jill Rozell, MS
• Amanda Ruiz
• Catherine E Ruma, MAOM, LIC.AC.
• Natalie Russ
• Richard Adam Russell, LMFT
• Elisabeth Rutchick, MA, LMHC
• Ruth E Lewis PHD LLC
• Margaret A Ryding, LIC. AC.

• Clinical Psychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.