JESSICA LUBITZ PSYD
NPI 1780130732
Psychologist - Clinical in Brooklyn, NY

Q: What is Jessica Lubitz's NPI number?

The NPI number for Jessica Lubitz is 1780130732. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Jessica Lubitz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jessica Lubitz enrolled in Medicare?

No. Jessica Lubitz has opted out of Medicare through December 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lubitz was last updated on March 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 30, 2016Opted out of Medicare · through Dec 4, 2026

3512 QUENTIN RD, BROOKLYN, NY 11234(646) 694-1438 Get Directions Write a Review

NPPES record last updated: March 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2017, Aug 30, 2016 (2 updates tracked since 2016).

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About Jessica Lubitz Psyd NPPES

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

JESSICA LUBITZ PSYD (NPI 1780130732) is an individual clinical provider in Brooklyn, New York, licensed in New York (021799) and active in the NPI registry since August 2016. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1780130732

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJESSICA LUBITZCredential: PSYD

Location Address3512 QUENTIN RDBrooklyn, NY 11234-4244

Mailing Address176 Woodbrook RdWhite Plains, NY 10605-4449 · (646) 694-1438

Phone(646) 694-1438

Sole ProprietorYes

Enumeration DateAugust 30, 2016

Last NPPES UpdateMarch 5, 20172 updates tracked since enumeration

✔ NPI 1780130732 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 NY · 021799

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.

3512 QUENTIN RD, Brooklyn, NY 11234

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Lubitz Psyd 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 December 4, 2022 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2022

Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. MARINA KRUGOLETS LMHC, LPC

Counselor (Mental Health)