Healthcare Provider Details

I. General information

NPI: 1871632463
Provider Name (Legal Business Name): AURA ELIZ VILLAMIL-RUBIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AURA ELIZ VILLAMIL-RUBIN PH.D.

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 E UNION HILLS DR STE 107
PHOENIX AZ
85050-2618
US

IV. Provider business mailing address

1982 E MCNAIR DR
TEMPE AZ
85283-4922
US

V. Phone/Fax

Practice location:
  • Phone: 602-529-1967
  • Fax:
Mailing address:
  • Phone: 480-755-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3825
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3825
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: