Individual provider Active NPI

Rebecca Heitler Lubin, PSY.D.

  • Psychologist
  • Denver, CO
National Provider Identifier
1174655112
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1994 Issued in CO
Practice address
899 Logan St
Suite 209
Denver, CO 80203-3130
Phone
(303) 831-4288
Fax
(303) 831-4286
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1994 CO
Clinical Child & Adolescent Psychologist 103TC2200X 1994 CO
Psychologist 103T00000X 1994 CO Primary

Addresses

Primary practice location

899 Logan St
Suite 209
Denver, CO 80203-3130

Mailing address

899 Logan St
Suite 209
Denver, CO 80203-3130
Phone (303) 831-4288

Other identifiers 1

IdentifierTypeStateIssuer
07019946MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20120201000880 CO Practitioner - Clinical Psychologist 6901063056 Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

899 Logan St
Suite 209
Denver, CO 80203

899 N Logan St
Suite 209
Denver, CO 80203-3154
Phone (303) 831-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1994COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174655112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 LOGAN ST",
            "address_2": "SUITE 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033130",
            "telephone_number": "303-831-4288",
            "fax_number": "303-831-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 LOGAN ST",
            "address_2": "SUITE 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033130",
            "telephone_number": "303-831-4288",
            "fax_number": "303-831-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "REBECCA",
        "middle_name": "HEITLER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1994",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "1994",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07019946",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.