Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elyse C Dubin, MD

Individual provider Psychiatry Physician · NPI 1962430850

Dr. Elyse C Dubin, MD is a Psychiatry in Santa Rosa, California. Graduated from Jefferson Medical College of Thomas Jefferson University in 1977, 49 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
49
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2222 Sycamore Ave
Santa Rosa, CA 95404-2236
Phone: (212) 925-8243
Fax: (917) 997-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 140357 (NY)

Record details

NPI number1962430850
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2006
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address2222 Sycamore Ave, Santa Rosa, CA 95404-2236

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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