DR. JODY ALAN RUBENSTEIN (NPI# 1114030558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114030558 |
| Entity Type | Individual |
| Full Name | DR. JODY ALAN RUBENSTEIN |
| Credential | PH.D. |
| Practice Address |
5418 Morningside Ave Dallas TX 75206-5840 |
| Practice Telephone | 2142066473 |
| Mailing Telephone | 2142066473 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2-4753 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 352153601 | 05 | |
| TX | CSHCN MEDICAID | 352153602 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 89455A | 01 |
| Street Address |
5418 MORNINGSIDE AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75206-5840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596919 | Dallas Anesthesia Group, Pllc | Anesthesiology | 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 | 2019-09-06 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| 1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
| 1851830434 | Amanda Rash | Physical Therapy Assistant | 5855 Milton Road, Dallas, TX 75206 | 2017-02-16 |
| 1649727272 | Insights Psychotherapy Group, Pllc | Counselor | 5255 Vickery Boulevard, Dallas, TX 75206 | 2016-09-01 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1225413776 | Chelsea Young | Speech-Language Pathologist | 8820 Southwestern Blvd #605, Dallas, TX 75206 | 2015-07-27 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1417386442 | Inspire Pediatric Therapy | Speech-Language Pathologist | 5646 Milton, #307, Dallas, TX 75206 | 2013-11-12 |
| Find all providers in zip 75206 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330864 | Annelizabeth Robinson Carlew | Clinical Neuropsychologist | 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 | 2020-03-11 |
| 1255815072 | Seema Pandya | Clinical Neuropsychologist | 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 | 2018-09-18 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1235679283 | David Denney | Clinical Neuropsychologist | 6303 Forest Park Road, Dallas, TX 75390-6373 | 2017-02-24 |
| 1487100517 | Joan Mayfield | Clinical Neuropsychologist | 9735 Windham Dr, Dallas, TX 75243-2320 | 2016-08-29 |
| 1225441355 | North Texas Neurorehabilitation Center Pa | Clinical Neuropsychologist | 4315 San Gabriel Dr, Dallas, TX 75229-4131 | 2014-06-05 |
| 1699026864 | Andrea Hester, Phd, Pllc | Clinical Neuropsychologist | 12820 Hillcrest Rd Ste C-100, Dallas, TX 75230-1526 | 2012-09-27 |
| 1629223557 | Carlos Daniel Marquez De La Plata | Clinical Neuropsychologist | 4101 Mcewen Rd Ste 318, Dallas, TX 75244-5257 | 2008-11-19 |
| 1013036912 | Ronald George Paulman | Clinical Neuropsychologist | 9400 N. Central Expy., Suite 1212, Dallas, TX 75231-5032 | 2007-03-29 |
| 1346370442 | Kris Weber | Clinical Neuropsychologist | 7557 Rambler Rd Ste 700, Dallas, TX 75231-2321 | 2007-03-07 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.