DR. LISA RUBIN (NPI# 1205044278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205044278 |
| Entity Type | Individual |
| Full Name | DR. LISA RUBIN |
| Credential | PH.D, LPC |
| Practice Address |
282 Village Pkwy Ne Marietta GA 30067-4062 |
| Practice Telephone | 7709376300 |
| Practice Fax Number | 7709379296 |
| Mailing Telephone | 7709376300 |
| Mailing Fax Number | 7709379296 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003059 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821381716 | Lisa B Rubin | Specialist/Technologist | 3409 Powerline Rd, Suite 1101, Fort Lauderdale, FL 33309-5945 | 2011-05-25 |
| 1932434370 | Lisa Gould Rubin | Doula | 114 Boutonville Rd, South Salem, NY 10590-1516 | 2009-10-02 |
| 1578727681 | Lisa R. Rubin | Psychologist | 866 President St, Apt 1, Brooklyn, NY 11215-1441 | 2008-07-17 |
| 1164491064 | Lisa G Rubin | Obstetrics & Gynecology | 406 West Oak St, Titusville, PA 16354-1404 | 2006-03-15 |
| 1871901363 | Lisa Rubin | Speech-Language Pathologist | 129 Virginia Ave, Oceanside, NY 11572-5432 | 2014-07-28 |
| 1467888693 | Lisa Ellen Rubin | Technician/Technologist | 800 Huron Rd E, Cleveland, OH 44115-1121 | 2013-09-19 |
| 1306120472 | Lisa M Rubin | Specialist | 2600 W 9th St, Chester, PA 19013-2040 | 2011-10-06 |
| 1952426777 | Lisa Rubin | Speech-Language Pathologist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2007-03-20 |
| 1336200203 | Lisa Rubin | Speech-Language Pathologist | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2006-12-13 |
| 1285714188 | Lisa Marie Rubin | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2006-10-16 |
| Street Address |
282 VILLAGE PKWY NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1053812537 | Carmen Julia Neyra | Psychologist | 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 | 2018-02-21 |
| 1467903609 | Alesya Korey | Psychologist | 821 Devonwood Trl Nw, Marietta, GA 30064-5439 | 2016-10-24 |
| 1174953780 | Marietta Associated Psychological Services Inc | Psychologist | 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 | 2013-11-18 |
| 1902248024 | Kavita Joshi Subrahmanian | Psychologist | 1778 Millhouse Run, Marietta, GA 30066-8012 | 2013-07-18 |
| 1154688877 | Terry A Crump | Psychologist | 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 | 2012-04-19 |
| 1710126461 | Susan Sevier Buffington | Psychologist | 4608 Lower Roswell Rd, Marietta, GA 30068-4237 | 2009-02-19 |
| 1962655324 | Kenneth C Molkner Md PC | Psychologist | 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 | 2008-10-29 |
| 1588876221 | Richard E. Shook, Ph.d., P.C. | Psychologist | 127 Cherry Street, Marietta, GA 30060 | 2007-05-04 |
| 1104960715 | Mark Manfred Roland | Psychologist | 21 Trammel St. Sw, Psychological Consultants of Marietta PC, Marietta, GA 30064-3249 | 2007-02-16 |
| Find all providers in MARIETTA | ||||
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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.