Individual provider · Type 1 NPI

Rachael D. Rubin, PhD

Psychologist · Champaign, IL

NPI number 1003456369 Active

Practice location

1802 S Mattis Ave
Champaign, IL 61821-5923

Fax (217) 255-9650

Mailing address

611 W Park St
Urbana, IL 61801-2501

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X071010215 (IL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1003456369

Rachael D. Rubin, PhD's National Provider Identifier is 1003456369, issued on Jan 14, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Champaign, IL. The record was last updated on May 21, 2026.