Individual provider Active NPI

Barbara Luskin, PH.D., L.P.

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1568448728
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4329 Issued in MN
Practice address
2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1279
Phone
(651) 647-1083
Fax
(651) 642-1230
NPI assigned
Dec 20, 2005
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP4329 MN
Clinical Psychologist 103TC0700X LP4329 MN Primary

Addresses

Primary practice location

2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1279

Mailing address

2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1279
Phone (651) 647-1083

Other identifiers 4

IdentifierTypeStateIssuer
2163333OtherMNCIGNA
497448400MedicaidMN
113185OtherMNUCARE
323J7LUOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20040204000631 MN Practitioner - Clinical Psychologist 0345133385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Autism Society of MinnesotaGroup PAC ID 8224921242, 5 clinicians

Practice addresses (Care Compare)

2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Society of Minnesota Psychologist CurrentSince Jan 1, 2002 Accepting new patients

Locations

2380 Wycliff St
Ste 102
Saint Paul, MN 55114
Phone 6516471083 ext. 17

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1568448728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST",
            "address_2": "SUITE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141279",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST",
            "address_2": "SUITE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141279",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSKIN",
        "first_name": "BARBARA",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4329",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2163333",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497448400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "113185",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "323J7LU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.