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MARY ELLEN RUBIN PH.D.
NPI 1962496240
Psychologist - Clinical in Williamsville, NY

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
6245 SHERIDAN DR, SUITE 218, WILLIAMSVILLE, NY 14221(716) 632-5563 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Ellen Rubin Ph.d. NPPES

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

MARY ELLEN RUBIN PH.D. (NPI 1962496240) is an individual clinical provider in Williamsville, New York, licensed in New York (005749-1) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1962496240
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY ELLEN RUBINCredential: PH.D.
Location Address6245 SHERIDAN DR, SUITE 218Williamsville, NY 14221-4834
Mailing Address193 Getzville RdAmherst, NY 14226-3519 · (716) 632-5563
Phone(716) 632-5563
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 1, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962496240 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 · 005749-1
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.
6245 SHERIDAN DR, Williamsville, NY 14221
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Other Identifiers 2

Other000507521001NY · Blue Cross
Medicare ID-Type Unspecified075215NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mary Ellen Rubin Ph.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.

PECOS PAC ID9931397064
PECOS Enrollment IDI20101216000131
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
270 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

GURPREET K DHALIWAL MD
Obstetrics & Gynecology
6245 SHERIDAN DR
WILLIAMSVILLE, NY 14221
Erie County (716) 631-1150
RYAN SMITH PT, DPT
Physical Therapist
6245 SHERIDAN DR, 112
WILLIAMSVILLE, NY 14221
Erie County (716) 565-0818
DANIEL Q COFIE MD
Emergency Medicine (Emergency Medical Services)
6245 SHERIDAN DR, SUITE 212
WILLIAMSVILLE, NY 14221
Erie County (716) 204-4500
JOSE G. PEREZ-BRACHE MD
Emergency Medicine (Emergency Medical Services)
6245 SHERIDAN DR, SUITE 212
WILLIAMSVILLE, NY 14221
Erie County (716) 204-4500
JAY L NEWMAN MD
Emergency Medicine (Emergency Medical Services)
6245 SHERIDAN DR, SUITE 212
WILLIAMSVILLE, NY 14221
Erie County (716) 688-2154
DANIEL A. CASTELLANI, M.D. P.C.
Psychiatry & Neurology (Neurology)
6245 SHERIDAN DR, SUITE 216
WILLIAMSVILLE, NY 14221
Erie County (716) 626-2647
PAUL TAI-LEUNG CHAN DO
Emergency Medicine (Emergency Medical Services)
6245 SHERIDAN DR, SUITE 212
WILLIAMSVILLE, NY 14221
Erie County (716) 204-4500
CIAMBELLA HOME CARE, INC.
Home Health
6245 SHERIDAN DR, SUITE 114
WILLIAMSVILLE, NY 14221
Erie County (716) 634-2273

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 Mary Ellen Rubin's NPI number?

The NPI number for Mary Ellen Rubin is 1962496240. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Mary Ellen Rubin located?

Mary Ellen Rubin practices at 6245 Sheridan Dr Suite 218, Williamsville, NY 14221. The listed phone number is (716) 632-5563.

What is Mary Ellen Rubin's specialty?

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

Is Mary Ellen Rubin enrolled in Medicare?

Yes. Mary Ellen 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.

What insurance does Mary Ellen Rubin accept?

Health plans from Providence Health Plan list Mary Ellen Rubin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Ellen Rubin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.