Active NPI
Sandra G Rubin, MD
- Child & Adolescent Psychiatry Physician
- Chevy Chase, MD
National Provider Identifier
1952435943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- D39619
- Practice address
- 5480 Wisconsin Ave Ste 228
Chevy Chase, MD 20815-3521 - Phone
- (301) 654-0285
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D39619 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | D39619 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave Ste 228
Chevy Chase, MD 20815-3521
Mailing address
5480 Wisconsin Ave Ste 228
Chevy Chase, MD 20815-3521
Phone (301) 654-0285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2025 through Jan 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D39619 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1952435943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE STE 228",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153521",
"telephone_number": "301-654-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE STE 228",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153521",
"telephone_number": "301-654-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "SANDRA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D39619",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "D39619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.