Luba Nakhutina, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

017696-1 Issued in NY

Practice address

305 Madison Ave
Suite 1060
New York, NY 10165-0006

Phone

(917) 740-8195

Fax

(212) 297-0536

NPI assigned

May 28, 2009

Last updated

Mar 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: lubanakhutina@sunydmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1477500916
  Medicare reassignment Care Compare group
• Comprehensive Neuropsychology Services PC

  • Clinical Psychologist
  • New York, NY
  • NPI 1104348283
  Authorized official Same address or phone

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457740800000",
    "number": "1346475878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W 181ST ST",
            "address_2": "5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334469",
            "telephone_number": "917-740-8195",
            "fax_number": "212-297-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MADISON AVE",
            "address_2": "SUITE 1060",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101650006",
            "telephone_number": "917-740-8195",
            "fax_number": "212-297-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHUTINA",
        "first_name": "LUBA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2016-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017696-1",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017696-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aigerim Nakhbayeva
• Anna Nakhla, LCSW
• Djenane Nakhle, PH.D.
• Jessica Nakhoul
• Gary Nakhuda, MD
• Anudeep Sai Nakirikanti, MD
• Patricia Nakitare, MD
• Samantha Nakos
• Navin Nakra, M.D.
• Sagar Nakrani, MD

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.