Individual provider Active NPI

Pamela Lubing, PSY.D.

  • Clinical Psychologist
  • Frederick, MD
National Provider Identifier
1821347790
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05881 Issued in MD
Practice address
365 W Patrick St FL 205
Frederick, MD 21701-4870
Phone
(402) 750-6467
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05881 MD Primary

Addresses

Primary practice location

365 W Patrick St FL 205
Frederick, MD 21701-4870

Mailing address

365 W Patrick St FL 205
Frederick, MD 21701-4870
Phone (402) 750-6467

Other practice location 1

405 Central Ave
Northfield, IL 60093-3006
Phone (847) 441-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211002713 MD Practitioner - Clinical Psychologist 2769726173 Reassigns benefits to 3 organizations
I20181211002930 DC Practitioner - Clinical Psychologist 2769726173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

10 N Jefferson St
Suite 202
Frederick, MD 21701-4865
Phone (240) 750-6467

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05881MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quince Orchard Psychotherapy LLC Clinical CurrentSince Jan 17, 2024 Accepting new patients
Oasis the Mental Health Center, LLC CurrentSince Nov 1, 2025 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients
Quince Orchard Psychotherapy LLC Past Accepting new patients
Oasis the Mental Health Center, LLC Clinical Past Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

1212 E Churchville Rd
Ste 200
Bel Air, MD 21014
Phone (410) 428-0018

111 Warren Rd
Ste 3A
Cockeysville, MD 21030
Phone (443) 406-6546

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

9608 Belair Rd
Nottingham, MD 21236
Phone (443) 595-7627

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1821347790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST FL 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014870",
            "telephone_number": "402-750-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST FL 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014870",
            "telephone_number": "402-750-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600933006",
            "country_code": "US",
            "telephone_number": "847-441-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBING",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.