DR. KIMBERLEE BETH RUBIN PSY.D.
NPI 1184790644
Psychologist - Clinical in Lynchburg, VA
About Dr. Kimberlee Beth Rubin Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLEE BETH RUBIN PSY.D. (NPI 1184790644) is an individual clinical provider in Lynchburg, Virginia, licensed in California (34169) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberlee Beth Rubin Psy.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberlee Rubin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thousand Oaks, CA 91320
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LYNCHBURG, VA 24504
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 Kimberlee Rubin's NPI number?
The NPI number for Kimberlee Rubin is 1184790644. It was assigned to this individual provider in the NPPES registry on November 27, 2006.
Where is Kimberlee Rubin located?
Kimberlee Rubin practices at 1000 Jefferson St Ste 2C, Lynchburg, VA 24504. The listed phone number is (535) 731-1469.
What is Kimberlee Rubin's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kimberlee Rubin enrolled in Medicare?
Yes. Kimberlee 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.
Which organization bills Medicare for Kimberlee Rubin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Rubin reassigns Medicare benefits to Thriveworks Clinical - California PC (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlee Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberlee Rubin was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Kimberlee Beth Rubin, PSY.D. · NPI 1184790644
Clinical provider in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1184790644 (Entity type: Individual)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 34169 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JEFFERSON ST STE 2C, Lynchburg, VA 24504-1724
- **Phone:** (535) 731-1469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriveworks Clinical - California PC (NPI 1801481395, Thousand Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184790644) · Data from the CMS NPPES public registry.