Active NPI
Eugene P Lubliner, PSY.D.
- Clinical Psychologist
- Miller Place, NY
National Provider Identifier
1245467216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018670
- Practice address
- 565 Route 25a
Suite 201
Miller Place, NY 11764-2663 - Phone
- (631) 821-7214
- Fax
- (631) 389-2552
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018670 | NY | Primary |
| School Psychologist | 103TS0200X | 1134904 | NY |
Addresses
Primary practice location
565 Route 25a
Suite 201
Miller Place, NY 11764-2663
Mailing address
565 Route 25a
Suite 201
Miller Place, NY 11764-2663
Phone (631) 821-7214
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134904 | NY | MD | School Psychologist |
| 018670 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Psychological Services, P.C. | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Miller Place, NY
- NPI 1184981524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1245467216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 ROUTE 25A",
"address_2": "SUITE 201",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642663",
"telephone_number": "631-821-7214",
"fax_number": "631-389-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ROUTE 25A",
"address_2": "SUITE 201",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642663",
"telephone_number": "631-821-7214",
"fax_number": "631-389-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBLINER",
"first_name": "EUGENE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018670",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1134904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.