ELLEN LUBORSKY (NPI# 1659760205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659760205 |
| Entity Type | Individual |
| Full Name | ELLEN LUBORSKY |
| Credential | PH.D. |
| Practice Address |
611 Broadway Suite 629b New York NY 10012-2608 |
| Practice Telephone | 2124752002 |
| Mailing Telephone | 2124752002 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009191 | NY | Behavioral Health & Social Service Providers |
| Street Address |
611 BROADWAY SUITE 629B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943302 | Kathleen Brown | Social Worker | 611 Broadway, Suite 731, New York, NY 10012 | 2017-10-17 |
| 1861919581 | Louissa Mae Atillo | Occupational Therapist | 611 Broadway, New York, NY 10012-2608 | 2017-08-23 |
| 1689108177 | Nicole Ross | Occupational Therapist | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2017-04-12 |
| 1578941746 | Spots | Community/Behavioral Health | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2015-05-08 |
| 1598194862 | Spots | Occupational Therapist | 611 Broadway, #908, New York, NY 10012-2608 | 2013-11-06 |
| 1043644503 | The Perfect Playground | Local Education Agency (LEA) | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2013-09-02 |
| 1609114859 | Diane Marie Ceballos | Occupational Therapist | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2013-01-23 |
| 1497037907 | Elissa Robin Walters | Occupational Therapist | 611 Broadway, #908, New York, NY 10012-2608 | 2011-09-12 |
| 1669752739 | Spots | Rehabilitation Unit | 611 Broadway, #908, New York, NY 10012-2608 | 2011-08-22 |
| 1073811410 | Michelle Stacey Kafko | Occupational Therapist | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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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.