Provider Demographics
NPI:1194585141
Name:METAMIND PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:METAMIND PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-834-7882
Mailing Address - Street 1:433 BROADWAY FL 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-1624
Mailing Address - Country:US
Mailing Address - Phone:401-327-9722
Mailing Address - Fax:
Practice Address - Street 1:433 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1624
Practice Address - Country:US
Practice Address - Phone:401-327-9722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty