RACHAEL D RUBIN (PHD) – Psychologist, NPI 1003456369

RACHAEL D RUBIN (PHD) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071010215 (IL). The NPI Number for RACHAEL D RUBIN (PHD) is 1003456369

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL D RUBIN (PHD)
NPI
1003456369
Phone
Not provided
Address
710 S PAULINA ST
Enumeration Date
14 January 2020
Last Update Date
4 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2013 (13 years ago)
PAC ID
7113355595
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20200318000600
Address ID
IL618012501UR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for RACHAEL D RUBIN (PHD)

  • 710 S PAULINA ST

    CHICAGO, IL 606123808

    Phone:

    Type: Mailing

  • 1802 S MATTIS AVE

    CHAMPAIGN, IL 618215923

    Phone: (217) 255-9580

    Fax: (217) 255-9650

    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: 2020-03-18

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
I20200318000600IClinical PsychologistILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96158Treatment of behavior impacting health, initial 30 minutes3318$0
96159Treatment of behavior impacting health, each additional 15 minutes2711$0
96156Assessment of health behavior2121$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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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: 3577515774View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
P S Y C H I A T R YIL
G A S T R O E N T E R O L O G YIL
Family Practice, Psychiatry, Family PracticeNY
Nurse PractitionerIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
Interventional Radiology, Diagnostic RadiologyDE
P O D I A T R YIL

Reviews

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Frequently asked questions

What is RACHAEL D RUBIN (PHD)'s NPI number?
RACHAEL D RUBIN (PHD)'s NPI is 1003456369 — the number used across U.S. healthcare to identify this provider.
Would RACHAEL D RUBIN (PHD) appear as active to a payer?
You can treat RACHAEL D RUBIN (PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RACHAEL D RUBIN (PHD)'s focus?
For RACHAEL D RUBIN (PHD), the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Is RACHAEL D RUBIN (PHD) located near Chicago?
RACHAEL D RUBIN (PHD) currently maps to Chicago, Illinois in this extract.
Does RACHAEL D RUBIN (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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