LUBA NAKHUTINA


Address: 305 Madison Ave, Suite 1060, New York, NY 10165-0006
Phone: 9177408195

LUBA NAKHUTINA (NPI# 1346475878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346475878
Entity Type Individual
Full Name LUBA NAKHUTINA
Credential PH.D.
Practice Address 305 Madison Ave
Suite 1060
New York
NY 10165-0006
Mailing Address 880 W 181st St
5a
New York
NY 10033-4469
Practice Telephone 9177408195
Practice Fax Number 2122970536
Mailing Telephone 9177408195
Mailing Fax Number 2122970536
Enumeration Date 2009-05-28
Last Update Date 2016-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 017696-1 NY Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
017696-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 305 MADISON AVE
SUITE 1060
City NEW YORK
State NY
Zip Code 10165-0006

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City NEW YORK
Zip Code 10165

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Dataset Information

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.

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