Lydia Zborowski Golub, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00356200 Issued in NJ

Practice address

50 Upper Montclair PLZ Ste 209
Upper Montclair, NJ 07043-1320

Phone

(973) 655-9472

Fax

(973) 655-9472

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lydia Lesia Zborowski Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Generations Counseling & Care Management LLC

  • Mental Health Counselor
  • Rochelle Park, NJ
  • NPI 1437109311
  NPD (past)
• Sherman Counseling and Consulting, Inc.

  • Clinical Social Worker
  • Rochelle Park, NJ
  • NPI 1306167457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003095134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NASSAU RD",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432005",
            "telephone_number": "973-655-9472",
            "fax_number": "973-655-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UPPER MONTCLAIR PLZ STE 209",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431320",
            "telephone_number": "973-655-9472",
            "fax_number": "973-655-9472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622-624 Valley Rd",
            "address_2": "Suite 6A",
            "address_purpose": "LOCATION",
            "city": "Upper Montclair",
            "state": "NJ",
            "postal_code": "070431462",
            "country_code": "US",
            "telephone_number": "973-655-9472",
            "fax_number": "973-655-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "LYDIA",
        "middle_name": "ZBOROWSKI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00356200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "35SI00356200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "ZBOROWSKI",
            "middle_name": "LESIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Friedricks, L.C.S.W.
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• Marlon Todd Gieser, PH.D.
• Sherri S Glassman, PH.D.
• Edward David Gold, DDS
• William Michael Gordon, PH.D.
• Marsha L. Grant-Ford, ATC, PHD
• Renata Hadis, MSW, LCSW
• Lori Ann Harris, MSW, LSW
• Frances Esther Hecker, PH.D.

• Clinical Psychologist in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.