Lubna Morales-Atallah, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY12489 Issued in FL

Practice address

4500 Salisbury Rd Ste 420
Jacksonville, FL 32216-0959

Phone

(904) 800-6116

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1356157747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SALISBURY RD STE 420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160959",
            "telephone_number": "904-800-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SALISBURY RD STE 420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160959",
            "telephone_number": "904-800-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-ATALLAH",
        "first_name": "LUBNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12489",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY12489",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY12489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogesh Moradiya, M.D.
• Lisbet Moraguez Rodriguez
• Emmanuel Iyanuloluwa Morakinyo, M.D.
• Camily Morales Lopez
• Steven Emil Morales Rivera, MD
• David Morales Jr., SFIDC
• Emma Mary Morales
• Gabriel Kai Morales, DO
• Isabela Morales, RBT
• James Morales

• Clinical Neuropsychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.