Mary Louisa McCubbin, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD071084L Issued in PA

Practice address

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Phone

(814) 643-6300

Fax

(814) 643-8776

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Utah School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrated Behavioral Healthcare Management Services, Inc.Group PAC ID 3173500931, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Integrated Behavioral Healthcare Management Services, Inc.

  • Clinic/Center
  • Huntingdon, PA
  • NPI 1598874414
  Medicare reassignment Care Compare group NPD
• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD (past)
• Philhaven

  • Psychiatric Hospital
  • Lebanon, PA
  • NPI 1972598076
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1861531972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "MARY",
        "middle_name": "LOUISA",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD071084L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01816546",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lauren McAleer, PMHNP
• John Bradley McCarty, DPT
• Madisyn McClellan, PA-C
• Brandon James McCloskey
• Beth Ann McCreary, M.S.
• Claudia McDowell, DPT
• Susan Marie McGlynn-Miller, OT
• Renata A McKenzie, RPH
• Kevin Edward McKinney, CRNP
• Ray Edward McMullen Jr., PA-C

• Psychiatry Physician in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.