Healthcare Provider Details

I. General information

NPI: 1972859148
Provider Name (Legal Business Name): RUBEN A HOPWOOD PHD, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EARHART ST # 724
CAMBRIDGE MA
02141-1940
US

IV. Provider business mailing address

303 CAMBRIDGE ST # 410039
CAMBRIDGE MA
02141-1207
US

V. Phone/Fax

Practice location:
  • Phone: 617-945-8749
  • Fax: 617-849-5584
Mailing address:
  • Phone: 617-945-8749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6971
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4201
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number10733
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: