DR. KIMBERLEE BETH RUBIN (PSY.D.) – Clinical Psychologist, NPI 1184790644

DR. KIMBERLEE BETH RUBIN (PSY.D.) is a healthcare provider. based in San diego, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 34169 (CA). The NPI Number for DR. KIMBERLEE BETH RUBIN (PSY.D.) is 1184790644

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLEE BETH RUBIN (PSY.D.)
NPI
1184790644
Phone
(619) 239-4663
Address
734 10TH AVE
Enumeration Date
27 November 2006
Last Update Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
2012 (14 years ago)
PAC ID
4587027206
Group Practice PAC ID
1759785645
Professional Enrollment ID
I20230829002008
Address ID
CA921083784SA2525XSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. KIMBERLEE BETH RUBIN (PSY.D.)

  • 734, 10th Avenue, East Village, San Diego, San Diego County, California, 92101, United States

    SAN DIEGO, CA 921016502

    Phone: (619) 239-4663

    Fax: (619) 239-3045

    Type: Mailing

  • PO BOX 748465

    ATLANTA, GA 303748465

    Phone: (855) 284-7483

    Type: Mailing

  • 1000 JEFFERSON ST STE 2C

    LYNCHBURG, VA 245041724

    Phone: (535) 731-1469

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230829002008IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759785645View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerWA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Mental Health CounselorCA
Clinical Social WorkerAZ

Reviews

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Frequently asked questions

What identifier follows DR. KIMBERLEE BETH RUBIN (PSY.D.) across health systems?
The NPI 1184790644 uniquely identifies DR. KIMBERLEE BETH RUBIN (PSY.D.) in U.S. healthcare data.
Is DR. KIMBERLEE BETH RUBIN (PSY.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KIMBERLEE BETH RUBIN (PSY.D.) as active.
What type of care does DR. KIMBERLEE BETH RUBIN (PSY.D.) provide?
DR. KIMBERLEE BETH RUBIN (PSY.D.)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KIMBERLEE BETH RUBIN (PSY.D.)?
DR. KIMBERLEE BETH RUBIN (PSY.D.) shows a connection to San Diego, California in registry-derived data.
Can I export DR. KIMBERLEE BETH RUBIN (PSY.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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