Active NPI
Luba Nakhutina Comprehensive Psychology Services P.C.
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1538454962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- LUBA NAKHUTINA COMPREHENSIVE PSYCHOLOGY SERVICES P.C.
- Practice address
- 305 Madison Ave Ste 1060
New York, NY 10165-1060 - Phone
- (917) 470-1336
- NPI assigned
- Jun 14, 2011
- Last updated
- Jan 12, 2012
- 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
- Luba Nakhutina, PH.D.
- Title
- Owner/President
- Phone
- (917) 470-1336
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Forensic Psychologist | 103TF0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Health Psychologist | 103TH0004X |
Addresses
Primary practice location
305 Madison Ave Ste 1060
New York, NY 10165-1060
Mailing address
One Grand Central Place
305 Madison Avenue, Suite 1060
New York, NY 10165
Phone (917) 470-1336
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1538454962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE GRAND CENTRAL PLACE",
"address_2": "305 MADISON AVENUE, SUITE 1060",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10165",
"telephone_number": "917-470-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MADISON AVE STE 1060",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101651060",
"telephone_number": "917-470-1336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBA NAKHUTINA COMPREHENSIVE PSYCHOLOGY SERVICES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "NAKHUTINA",
"authorized_official_first_name": "LUBA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "917-470-1336",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 12, 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.