Lisa Lubin, PH.D., L.L.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

1489 Issued in CO

Legal business name

LISA LUBIN, PH.D., L.L.C.

Practice address

6175 S Carson St
Centennial, CO 80111-6071

Phone

(303) 680-4205

Fax

(303) 680-0489

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Robin Lubin, PH.D.NPI 1467517276

Title

Clinical Psychologist

Phone

(303) 680-4205

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Robin Lubin, PH.D.

  • Clinical Psychologist
  • Centennial, CO
  • NPI 1467517276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1982030110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 S CARSON ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116071",
            "telephone_number": "303-680-4205",
            "fax_number": "303-680-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 S CARSON ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116071",
            "telephone_number": "303-680-4205",
            "fax_number": "303-680-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LUBIN, PH.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-680-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "1489",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CO",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linked to Craig 501C3
• Carrie Jane Linn, D.C.
• Scott Linton, DDS
• Rhoda Juanita Lipscomb, LPC
• Lisa a. Garfinkel DC, Inc.
• Cheryl Beth Lispi, LPC
• Erika Hess Liu, PT
• Eugene Liu, DDS
• Karla Johanna Llanos Marquez
• Carol Olivia Loadman-Copeland, PH.D., N.C.C., R.P.T

• Adolescent and Children Mental Health Clinic/Center in Centennial, CO
• Providers in Centennial, CO by specialty
• Adolescent and Children Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.