DR. ROBERTA MAE RUBIN PH.D.
NPI 1063536175
Psychologist - Clinical in Santa Clarita, CA

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

Active since March 16, 2007Opted out of Medicare · through Jul 19, 2027

21545 CENTRE POINTE PKWY, SANTA CLARITA, CA 91350(661) 259-9439(661) 259-9658 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Roberta Mae Rubin Ph.d. NPPES

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

DR. ROBERTA MAE RUBIN PH.D. (NPI 1063536175) is an individual clinical provider in Santa Clarita, California, licensed in California (PSY12748) and active in the NPI registry since March 2007. She has opted out of Medicare through July 19, 2027.

NPPES Registry Identity

NPI1063536175

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROBERTA MAE RUBINCredential: PH.D.

Location Address21545 CENTRE POINTE PKWYSanta Clarita, CA 91350-2947

Mailing Address21545 Centre Pointe PkwySanta Clarita, CA 91350-2947 · (661) 259-9439 · Fax (661) 259-9658

Phone(661) 259-9439

Fax(661) 259-9658

Sole ProprietorYes

Enumeration DateMarch 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063536175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY12748

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

21545 CENTRE POINTE PKWY, Santa Clarita, CA 91350

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Roberta Mae Rubin Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 19, 2025 through July 19, 2027.

Opt-Out Effective DateJuly 19, 2025

Opt-Out In Effect ThroughJuly 19, 2027Opt-out affidavits renew automatically every two years unless cancelled