Active NPI
Eugenia Dubus, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1073892568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022139-1
- Practice address
- 200 W 57TH St Ste 905
New York, NY 10019-3228 - Phone
- (212) 518-1205
- NPI assigned
- Aug 15, 2011
- Last updated
- Oct 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 022139-1 | NY | |
| Clinical Psychologist | 103TC0700X | 022139-1 | NY | Primary |
| Forensic Psychologist | 103TF0200X | 022139-1 | NY |
Addresses
Primary practice location
200 W 57TH St Ste 905
New York, NY 10019-3228
Mailing address
200 W 57TH St Ste 905
New York, NY 10019-3228
Other practice location 1
524 W 59th St
New York, NY 10019-1007
Phone (212) 237-8000
Other names 1
- Eugenia Garcia-Dubus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022139-1 | NY | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Assessments and Consultation Services, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pacs, PLLC
- Adult Mental Health Clinic/Center
- New York, NY
- NPI 1649965898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540080000000",
"number": "1073892568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 57TH ST STE 905",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST STE 905",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193228",
"telephone_number": "212-518-1205"
}
],
"practiceLocations": [
{
"address_1": "524 W 59th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191007",
"country_code": "US",
"telephone_number": "212-237-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBUS",
"first_name": "EUGENIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2018-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "022139-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022139-1",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NY",
"license": "022139-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENIA",
"last_name": "GARCIA-DUBUS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.