Individual provider Active NPI

Eugene P Lubliner, PSY.D.

  • Clinical Psychologist
  • Miller Place, NY
National Provider Identifier
1245467216
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018670 Issued in NY
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

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1134904NYMDSchool Psychologist
018670NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.