Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Rubacka, MA

Individual provider Psychologist · NPI 1124810379

Jack Rubacka, MA is a Psychologist in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1100 W Market St Fl 2
Greensboro, NC 27403-1830
Phone: (336) 334-5662
Fax: (336) 334-5754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6906 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124810379
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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