Audrey Lubin, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022056 Issued in NY

Practice address

551 Valley Rd # 189
Montclair, NJ 07043-1832

Phone

(929) 324-7342

NPI assigned

Jun 20, 2019

Last updated

Aug 29, 2020By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1952961062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 VALLEY RD APT C2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431872",
            "telephone_number": "929-324-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 VALLEY RD # 189",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431832",
            "telephone_number": "929-324-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W End Ave # 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100245708",
            "country_code": "US",
            "telephone_number": "917-633-6887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Valley Rd Apt C2",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070431872",
            "country_code": "US",
            "telephone_number": "929-324-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "AUDREY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Speaks, LLC (Montclair Speech Therapy)
• Rebecca Marie Lotwich, M.A., CCC-SLP
• William Lovejoy, DPT
• Phyllis Pearl Lowenthal, C.C.C.-SLP
• Maira Lozano
• Christina Lubrino
• Francine Baliguat Lucero, MD
• Kathleen Lutz, LCSW, LCADC, CP
• Philip Lutz, M.D.
• Danielle Mabutas, DPT

• Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.