NICOLETTE LUBIN
NPI 1457908642
Psychologist - Clinical in Twentynine Palms, CA

Active since August 22, 2019
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278(760) 830-2117 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2022, Aug 22, 2019 (2 updates tracked since 2019).

About Nicolette Lubin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLETTE LUBIN (NPI 1457908642) is an individual clinical provider in Twentynine Palms, California, licensed in Virginia (0810007275) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1457908642
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLETTE LUBIN
Location Address1145 STURGIS ROADTwentynine Palms, CA 92278-8275
Mailing Address1145 Sturgis RoadTwenynine Palms, CA 92278-8275
Sole ProprietorNo
Enumeration DateAugust 22, 2019
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1457908642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VA · 0810007275
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X
1145 STURGIS ROAD, Twentynine Palms, CA 92278

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1145 STURGIS ROAD, MAGTFTC MCAGCC
TWENTYNINE PALMS, CA 92278
Physician Assistant
1145 STURGIS ROAD, NAVAL HOSPITAL TWENTYNINE PALMS
TWENTYNINE PALMS, CA 92278
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
Audiologist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
Nurse Anesthetist, Certified Registered
1145 STURGIS ROAD, NAVAL HOSPITAL TWENTYNINE PALMS
TWENTYNINE PALMS, CA 92278
Psychologist (Clinical)
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
Anesthesiology
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
Emergency Medicine
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457908642, enumerated as an "individual" on August 22, 2019.

The provider is located at 1145 STURGIS ROAD TWENTYNINE PALMS, CA 92278 and the phone number is (760) 830-2117.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.