Organization Active NPI

Metamind Psychological Services, LLC

  • Psychologist
  • Providence, RI
National Provider Identifier
1194585141
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
METAMIND PSYCHOLOGICAL SERVICES, LLC
Practice address
433 Broadway FL 2
Providence, RI 02909-1624
Phone
(401) 327-9722
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Dr. Anna Lubiner, PH.D.NPI 1558813857
Title
Owner/Director
Phone
(401) 834-7882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

433 Broadway FL 2
Providence, RI 02909-1624

Mailing address

433 Broadway FL 2
Providence, RI 02909-1624
Phone (401) 327-9722

National Provider Directory

National Provider Directory

Locations

433 Broadway
Ste 2
Providence, RI 02909
Phone (401) 327-9722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1194585141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BROADWAY FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091624",
            "telephone_number": "401-327-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BROADWAY FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091624",
            "telephone_number": "401-327-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMIND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "LUBINER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "401-834-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.