Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Eri Kubota, PHD

Individual provider Psychologist · NPI 1578082897

Dr. Eri Kubota, PHD is a Clinical Psychologist in New York, New York. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

225 Broadway 1570
New York, NY 10007-3000
Phone: (646) 245-8524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022367 (NY)
Psychologist Taxonomy 103T00000X · Licence 022367 (NY)
Health Psychologist Taxonomy 103TH0004X · Licence 022367 (NY)

Record details

NPI number1578082897
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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