Active NPI
Lara Lynn Lobue, PSYD
- Psychologist
- New York, NY
National Provider Identifier
1760005839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 025896
- Practice address
- 308 E 38TH St Ste 201
New York, NY 10016-9825 - Phone
- (646) 481-9811
- NPI assigned
- May 25, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 025896 | NY | Primary |
Addresses
Primary practice location
308 E 38TH St Ste 201
New York, NY 10016-9825
Mailing address
308 E 38TH St Ste 201
New York, NY 10016-9825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 5, 2023 through Sep 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025896 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1760005839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E 38TH ST STE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E 38TH ST STE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169825",
"telephone_number": "646-481-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBUE",
"first_name": "LARA",
"middle_name": "LYNN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "025896",
"primary": true
}
],
"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 Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.