Active NPI
Lynnette Matar, MA LPC NCC LLP
- Psychologist
- Kalamazoo, MI
National Provider Identifier
1952478067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301012444
- Practice address
- 5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181 - Phone
- (269) 372-4140
- Fax
- (269) 372-0390
- NPI assigned
- Nov 30, 2006
- 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 | 6301012444 | MI | Primary |
Addresses
Primary practice location
5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181
Mailing address
5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181
Phone (269) 372-4140
Other practice location 1
2615 Stadium Drive
Community Health Center
Kalamazoo, MI 49008
Phone (269) 343-1651 ext. 146
Other names 1
- Lynnette Lubinski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012444 | MI | MD | Psychologist |
Interoperability endpoints
- lynnette.matar.1@28621.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1952478067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 HOLIDAY TER STE 13",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092181",
"telephone_number": "269-372-4140",
"fax_number": "269-372-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 HOLIDAY TER STE 13",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092181",
"telephone_number": "269-372-4140",
"fax_number": "269-372-0390"
}
],
"practiceLocations": [
{
"address_1": "2615 Stadium Drive",
"address_2": "Community Health Center",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "49008",
"country_code": "US",
"telephone_number": "269-343-1651 x146",
"fax_number": "269-382-7078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATAR",
"first_name": "LYNNETTE",
"credential": "MA LPC NCC LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301012444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNETTE",
"last_name": "LUBINSKI",
"credential": "MA LPC NCC LLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.