DR. MARILYN LUBER PH.D.
NPI 1558354480
Psychologist - Clinical in Philadelphia, PA

Active since August 25, 2005Opted out of Medicare · through Apr 1, 2027
255 S 17TH ST, SUITE 804, PHILADELPHIA, PA 19103(215) 545-8296(215) 545-7245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marilyn Luber Ph.d. NPPES

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

DR. MARILYN LUBER PH.D. (NPI 1558354480) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS004942L) and active in the NPI registry since August 2005. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558354480
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARILYN LUBERCredential: PH.D.
Location Address255 S 17TH ST, SUITE 804Philadelphia, PA 19103-6231
Mailing Address255 S 17th St, Suite 804Philadelphia, PA 19103-6231 · (215) 545-8296 · Fax (215) 545-7245
Fax(215) 545-7245
Sole ProprietorYes
Enumeration DateAugust 25, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1558354480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS004942L
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.

255 S 17TH ST, Philadelphia, PA 19103

Other Identifiers 1

Medicare ID-Type Unspecified561428PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Marilyn Luber Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist (General Practice)
255 S 17TH ST, STE 1201
PHILADELPHIA, PA 19103
Psychologist (Counseling)
255 S 17TH ST, STE 1111
PHILADELPHIA, PA 19103
Dentist (General Practice)
255 S 17TH ST, STE 1609
PHILADELPHIA, PA 19103
Psychologist
255 S 17TH ST, SUITE 2900
PHILADELPHIA, PA 19103
Psychologist (Clinical)
255 S 17TH ST, SUITE 1111
PHILADELPHIA, PA 19103
Psychologist (Cognitive & Behavioral)
255 S 17TH ST, MEDICAL TOWER - SUITE 2708
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST, SUITE 1509
PHILADELPHIA, PA 19103
Psychologist
255 S 17TH ST, 1508 MEDICAL TOWER BUILDING
PHILADELPHIA, PA 19103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558354480, enumerated as an "individual" on August 25, 2005.

The provider is located at 255 S 17TH ST SUITE 804 PHILADELPHIA, PA 19103 and the phone number is (215) 545-8296.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.