Individual provider · Type 1 NPI

Jack Rubacka, MA

Psychologist · Greensboro, NC

NPI number 1124810379 Active

Practice location

1100 W Market St Fl 2
Greensboro, NC 27403-1830

Call (336) 334-5662 Map

Fax (336) 334-5754

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6906 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1124810379

Jack Rubacka, MA's National Provider Identifier is 1124810379, issued on May 21, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Greensboro, NC. The record was last updated on Jun 8, 2026.