RACHAEL D RUBIN PHD
NPI 1003456369
Psychologist in Champaign, IL

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 255-9580(217) 255-9650 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Mar 4, 2020, Jan 14, 2020 (3 updates tracked since 2020).

About Rachael D Rubin Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHAEL D RUBIN PHD (NPI 1003456369) is an individual psychologist in Champaign, Illinois, licensed in Illinois (071010215) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003456369
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameRACHAEL D RUBINCredential: PHD
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 383-3311
Fax(217) 255-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 14, 2020
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1003456369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071010215
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1802 S MATTIS AVE, Champaign, IL 61821

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rachael D Rubin Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113355595
PECOS Enrollment IDI20200318000600
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
47 services27 patients
Treatment of behavior impacting health, each additional 15 minutes 96159
This procedure involves therapeutic interventions to help manage behaviors that may negatively affect your health. Each additional 15-minute session is designed to further assist in developing healthier habits and coping mechanisms.
44 services17 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
32 services32 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Nurse Practitioner
1802 S MATTIS AVE
CHAMPAIGN, IL 61821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachael Rubin's NPI number?

The NPI number for Rachael Rubin is 1003456369. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Rachael Rubin located?

Rachael Rubin practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 255-9580.

What is Rachael Rubin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Rachael Rubin enrolled in Medicare?

Yes. Rachael Rubin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rachael Rubin was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.