Active NPI
Jerry Lublin PHD Victoria Beech Lublin PHD Psych Associates PC
- Clinical Psychologist
- New York, NY
National Provider Identifier
1285782490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JERRY LUBLIN PHD VICTORIA BEECH LUBLIN PHD PSYCH ASSOCIATES PC
- Practice address
- 3 E 68TH St
New York, NY 10021-4903 - Phone
- (212) 628-9200
- Fax
- (212) 472-7253
- NPI assigned
- Jan 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Beech Lublin, PH.D.
- Title
- President
- Phone
- (516) 466-1090
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3 E 68TH St
New York, NY 10021-4903
Mailing address
9 Avalon Rd
Great Neck, NY 11021-3901
Phone (516) 466-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- New York, NY
- NPI 1952459091
-
- Counseling Psychologist
- New York, NY
- NPI 1679621361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285782490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 AVALON RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213901",
"telephone_number": "516-466-1090",
"fax_number": "516-466-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214903",
"telephone_number": "212-628-9200",
"fax_number": "212-472-7253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY LUBLIN PHD VICTORIA BEECH LUBLIN PHD PSYCH ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUBLIN",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "BEECH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-466-1090",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.