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

Mary Ellen Rubin, PHD

Individual provider Clinical Psychologist · NPI 1962496240

Mary Ellen Rubin, PHD is a Clinical Psychologist in Williamsville, New York. Qualified in 1977, 49 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6245 Sheridan Dr Ste 218
Williamsville, NY 14221-4834
Phone: (716) 632-5563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 005749-1 (NY)

Record details

NPI number1962496240
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 1, 2005
Last updated in NPPESJuly 8, 2007
Mailing address193 Getzville Rd, Amherst, NY 14226-3519

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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