Basic Information
| Provider Information | |||||||||
| NPI: | 1366415176 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CUBIC | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | PROF. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 936 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235010936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Practice Location | |||||||||
| Address1: | 825 FAIRFAX AVE | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235071914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574465888 | ||||||||
| FaxNumber: | 7574465918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 04/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 04/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 081002011 | VA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 035025 | 01 | VA | VALUE OPTIONS | OTHER | 03966 | 01 | NC | BC/BS | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER | PAR | 01 | VA | AETNA | OTHER | -006 | 01 | VA | TRICARE/CHAMPUS | OTHER | 87151 | 01 | VA | SENTARA/OPTIMA | OTHER | 221938 | 01 | VA | UNITED BEHAVIORAL HEALTH/MAMSI | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | 007701209 | 05 | VA | MEDICAID | PAR | 01 | VA | MULTIPLAN | OTHER | 323929 | 01 | VA | MANAGED HEALTH NETWORK | OTHER | PAR | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | 023938 | 01 | VA | ANTHEM | OTHER | 255619 | 01 | VA | MAGELLAN | OTHER | PAR | 01 | VA | FIRST HEALTH COMMERICAL | OTHER |