LUBA NAKHUTINA COMPREHENSIVE PSYCHOLOGY SERVICES P.C. (NPI# 1538454962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538454962 |
| Entity Type | Organization |
| Organization Name | LUBA NAKHUTINA COMPREHENSIVE PSYCHOLOGY SERVICES P.C. |
| Practice Address |
305 Madison Ave Ste 1060 New York NY 10165-1060 |
| Mailing Address |
One Grand Central Place 305 Madison Avenue, Suite 1060 New York NY 10165 |
| Practice Telephone | 9174701336 |
| Mailing Telephone | 9174701336 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | LUBA NAKHUTINA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9174701336 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
305 MADISON AVE STE 1060 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10165-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578931366 | Sonia Rivera | Licensed Practical Nurse | 60 East 42st, New York Ny, NY 10165 | 2015-09-10 |
| 1023177227 | Maged F Iskaros | Dentist | 60 East 42nd Street, New York, NY 10165 | 2006-12-06 |
| 1902335623 | Jason Michael Duncan | Psychologist | 60 E 42nd St Ste 4600, New York, NY 10165-0006 | 2017-06-06 |
| 1396901948 | Variance Staffing Inc | Home Health | 305 Madison Ave, New York, NY 10165-0006 | 2008-08-04 |
| 1932299872 | Joel Mark | Dentist | 60 E 42nd St, 1521, New York, NY 10165-0006 | 2006-10-13 |
| 1528589223 | Jason Duncan LLC | Psychologist | 60 E 42nd St Ste 4600, New York, NY 10165-0006 | 2017-07-03 |
| 1396270005 | Jayne Gumpel | Social Worker | 60 E 42nd St, Suite 1535, New York, NY 10165-0006 | 2017-05-01 |
| 1013397785 | Financial Technologies Inc | Durable Medical Equipment & Medical Supplies | 305 Madison Ave, Suite 4600, New York, NY 10165-0006 | 2015-06-08 |
| 1457743023 | Michael Griffith Donovan | Dentist | 60 E 42nd St, Suite 1656, New York, NY 10165-0006 | 2015-02-19 |
| 1851636013 | Bethany C Bohlig | Social Worker | 60 E 42nd St, Suite 2401, New York, NY 10165-0006 | 2012-11-29 |
| Find all providers in zip 10165 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| 1184139776 | Matthew Pagirsky | Clinical Neuropsychologist | 130 E 63rd St Apt 10a, New York, NY 10065-7338 | 2017-12-05 |
| 1538685441 | Kim Busichio | Clinical Neuropsychologist | 952 5th Ave Apt 4a, New York, NY 10075-1749 | 2017-08-22 |
| 1316467020 | Danny Tam | Clinical Neuropsychologist | Dva 423 E 23rd St, New York, NY 10010 | 2017-06-23 |
| 1376078030 | David Sukiennik | Clinical Neuropsychologist | 175 W 72nd St Apt 6g, New York, NY 10023-3209 | 2017-05-01 |
| 1982147310 | Milestones Psychology Group Pllc | Clinical Neuropsychologist | 41 Madison Ave Ste 2536, New York, NY 10010-2202 | 2016-12-03 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.