Active NPI
Louise B Lubin, PHD
- Psychologist
- Norfolk, VA
National Provider Identifier
1659474617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 988
- Practice address
- 425 W 20TH St Ste 5
Norfolk, VA 23517-2128 - Phone
- (757) 625-1020
- Fax
- (757) 625-0244
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 988 | VA | Primary |
Addresses
Primary practice location
425 W 20TH St Ste 5
Norfolk, VA 23517-2128
Mailing address
425 W 20TH St Ste 5
Norfolk, VA 23517-2128
Phone (757) 625-1020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080901 | Other | VA | OPTIMA |
| 066749 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 1, 2016 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 988 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1659474617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 20TH ST STE 5",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235172128",
"telephone_number": "757-625-1020",
"fax_number": "757-625-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 20TH ST STE 5",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235172128",
"telephone_number": "757-625-1020",
"fax_number": "757-625-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIN",
"first_name": "LOUISE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "080901",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "066749",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.