Dr. Michael V. Cubie,PH.D.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY20021 Issued in CA

Legal business name

DR. MICHAEL V. CUBIE,PH.D.

Doing business as

none

Practice address

35 E 10TH St
Suite E3
Tracy, CA 95376-4058

Phone

(510) 258-1163

Fax

(209) 830-1156

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael V. Cubie, PH.D.

Title

Licensed Psychologist

Phone

(510) 258-1163

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1316298755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953780306",
            "telephone_number": "510-258-1163",
            "fax_number": "209-830-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 10TH ST",
            "address_2": "SUITE E3",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764058",
            "telephone_number": "510-258-1163",
            "fax_number": "209-830-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL V. CUBIE,PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CUBIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-258-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY20021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Tracy, CA
• Providers in Tracy, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.