Provider Demographics
NPI:1366415176
Name:CUBIC, BARBARA ANN (PHD)
Entity type:Individual
Prefix:PROF
First Name:BARBARA
Middle Name:ANN
Last Name:CUBIC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:6040 UNIVERSITY TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-2421
Practice Address - Country:US
Practice Address - Phone:855-988-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA081002011103TC0700X
WV1189103TC0700X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC03966OtherBC/BS
VA-006OtherTRICARE/CHAMPUS
VA023938OtherANTHEM
OH0304960Medicaid
WV1366415176Medicaid
VA87151OtherSENTARA/OPTIMA
VAPAROtherUSA MANAGED CARE
VAPAROtherMULTIPLAN
VAPAROtherCORVEL/CORCARE
VA007701209Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VA323929OtherMANAGED HEALTH NETWORK
VAPAROtherFIRST HEALTH COMMERICAL
VAPAROtherAETNA
VA255619OtherMAGELLAN
MD424681100Medicaid
VA221938OtherUNITED BEHAVIORAL HEALTH/MAMSI
VA035025OtherVALUE OPTIONS
VAPAROtherVIRGINIA PREMIER HEALTH