Jerry A Lublin, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

006685 Issued in NY

Practice address

3 E 68TH St
New York, NY 10021-4903

Phone

(212) 628-9200

Fax

(212) 472-7253

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jerry Lublin PHD Victoria Beech Lublin PHD Psych Associates PCGroup PAC ID 1153610506, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jerry Lublin PHD Victoria Beech Lublin PHD Psych Associates PC

  • Clinical Psychologist
  • New York, NY
  • NPI 1285782490
  Medicare reassignment Care Compare group NPD
• Park East Psychological Assoc, P.C.

  • Psychologist
  • New York, NY
  • NPI 1184903577
  Authorized official Same address or phone

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679621361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AVALON RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213901",
            "telephone_number": "516-466-1090",
            "fax_number": "212-472-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214903",
            "telephone_number": "212-628-9200",
            "fax_number": "212-472-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBLIN",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lubiner, LMSW
• Elana B Lubit, M.D.
• Roy Lubit, MD
• Arthur Marc Lubitz, M.D.
• Fred Lublin, M.D.
• Peri Beth Lublin, LMSW
• Victoria Beech Lublin, PH.D.
• Eric Lubliner, M.D.
• Erika Hyacinth Lubliner, PSY.D.
• Jerry Lubliner, MD

• Counseling Psychologist in New York, NY
• Providers in New York, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.