Luba Alexandra Roytburd, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016984-1 Issued in NY

Practice address

11241 Queens Blvd
Suite 100
Forest Hills, NY 11375-7475

Phone

(646) 706-7781

Fax

(646) 706-7781

NPI assigned

Jan 19, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luba Roytburd, PH.D. LLC

  • Clinical Psychologist
  • Bethesda, MD
  • NPI 1144940222
  NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1730232000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314002",
            "telephone_number": "646-706-7781",
            "fax_number": "646-706-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "address_2": "SUITE 100",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757475",
            "telephone_number": "646-706-7781",
            "fax_number": "646-706-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTBURD",
        "first_name": "LUBA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016984-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Philip Rotkowitz, M.D.
• Julie Rotter
• Jaborn Carlie Roundtree, MHC
• Michelle Routhenstein, MS RD CDE
• Arvin Kenneth Regala Royon
• Madlena Rozenblyum, LCSW
• Karem Rozo Diaz
• RPN Nursing Care PLLC
• Rstnrl Medical Associates
• Wanting Ruan

• Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.