Organization Active NPI

Luba Nakhutina Comprehensive Psychology Services P.C.

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1538454962
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.