DR. NIKKI RUBIN PSY.D.
NPI 1558537639
Psychologist - Clinical in Los Angeles, CA

Q: What is Nikki Rubin's NPI number?

The NPI number for Nikki Rubin is 1558537639. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Nikki Rubin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Nikki Rubin enrolled in Medicare?

No. Nikki Rubin has opted out of Medicare through July 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nikki Rubin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 07, 2008Opted out of Medicare · through Jul 17, 2027

11500 W OLYMPIC BLVD STE 460, LOS ANGELES, CA 90064(310) 933-4198(310) 933-4198 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jul 9, 2022, May 9, 2018 (3 updates tracked since 2018).

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About Dr. Nikki Rubin Psy.d. NPPES

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

DR. NIKKI RUBIN PSY.D. (NPI 1558537639) is an individual clinical provider in Los Angeles, California, licensed in New York (019595) and active in the NPI registry since May 2008. She has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558537639

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NIKKI RUBINCredential: PSY.D.

Location Address11500 W OLYMPIC BLVD STE 460Los Angeles, CA 90064-1562

Mailing Address11500 W Olympic Blvd Ste 460Los Angeles, CA 90064-1562 · (310) 933-4198 · Fax (310) 933-4198

Phone(310) 933-4198

Fax(310) 933-4198

Sole ProprietorNo

Enumeration DateMay 7, 2008

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2022

✔ NPI 1558537639 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 NY · 019595

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.

11500 W OLYMPIC BLVD STE 460, Los Angeles, CA 90064

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nikki Rubin Psy.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 17, 2019 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2019

Opt-Out In Effect ThroughJuly 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

TAYLOR DOVALA PHD A PSYCHOLOGICAL CORPORATION

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