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DR. LUKASZ URBAN PSYD
NPI 1619256039
Psychologist - Clinical Child & Adolescent in San Diego, CA

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
5252 BALBOA AVE STE 1004, SAN DIEGO, CA 92117(619) 314-5560 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lukasz Urban Psyd NPPES

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

DR. LUKASZ URBAN PSYD (NPI 1619256039) is an individual clinical child & adolescent provider in San Diego, California, licensed in California (PSY30225) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619256039
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. LUKASZ URBANCredential: PSYD
Location Address5252 BALBOA AVE STE 1004San Diego, CA 92117
Mailing Address5252 Balboa Ave Ste 1004San Diego, CA 92117-6986 · (619) 314-5560
Phone(619) 314-5560
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2011
Last NPPES UpdateAugust 24, 2018
✔ NPI 1619256039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY30225
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY30225 (CA)
5252 BALBOA AVE STE 1004, San Diego, CA 92117
Open in Google Maps ↗

Other Identifiers 2

Other83-1489014CA · Employee Id Number
OtherPSY30225CA · Psychology License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lukasz Urban Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163769886
PECOS Enrollment IDI20260213001294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lukasz Urban reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sailor Health Medical PA
2,270 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333
Sailor Health Medical Of California, P.C.
2,274 mi
Psychologist
201 S BISCAYNE BLVD STE 2867
Miami, FL 33131
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1013879436 (786) 269-0333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SAN DIEGO PSYCHOLOGY & TELEHEALTH
Clinic/Center (Adolescent and Children Mental Health)
5252 BALBOA AVE STE 1004
SAN DIEGO, CA 92117
San Diego County (619) 314-5560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lukasz Urban's NPI number?

The NPI number for Lukasz Urban is 1619256039. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Lukasz Urban located?

Lukasz Urban practices at 5252 Balboa Ave Ste 1004, San Diego, CA 92117. The listed phone number is (619) 314-5560.

What is Lukasz Urban's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Lukasz Urban enrolled in Medicare?

Yes. Lukasz Urban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lukasz Urban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lukasz Urban reassigns Medicare benefits to 2 organizations: Sailor Health Medical PA (Coral Gables, FL) and Sailor Health Medical Of California, P.C. (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lukasz Urban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lukasz Urban was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.