MEDICARE: PROF. BARBARA ANN CUBIC PHD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	081002011	VA
2	103TC0700X	Clinical Psychologist	1189	WV
3	103TB0200X	Cognitive & Behavioral Psychologist	1189	WV

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03966	OTHER	NC	BC/BS
2	-006	OTHER	VA	TRICARE/CHAMPUS
3	023938	OTHER	VA	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	87151	OTHER	VA	SENTARA/OPTIMA
7	PAR	OTHER	VA	USA MANAGED CARE
8	PAR	OTHER	VA	MULTIPLAN
9	PAR	OTHER	VA	CORVEL/CORCARE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	PAR	OTHER	VA	VIRGINIA HEALTH NETWORK
12	323929	OTHER	VA	MANAGED HEALTH NETWORK
13	PAR	OTHER	VA	FIRST HEALTH COMMERICAL
14	PAR	OTHER	VA	AETNA
15	255619	OTHER	VA	MAGELLAN
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	221938	OTHER	VA	UNITED BEHAVIORAL HEALTH/MAMSI
18	035025	OTHER	VA	VALUE OPTIONS
19	PAR	OTHER	VA	VIRGINIA PREMIER HEALTH

NPI Number	:	1366415176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. BARBARA ANN CUBIC PHD

Provider Business Mailing Address
First Line	:	PO BOX 936
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23501-0936
Country	:	US
Telephone Number	:	757-446-5888
Fax Number	:	757-446-5918

Provider Business Practice Location Address
First Line	:	6040 UNIVERSITY TOWN CENTRE DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-2421
Country	:	US
Telephone Number	:	855-988-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	02/20/2023

6040 UNIVERSITY TOWN CENTRE DR , PEDIATRICS SUITE
MORGANTOWN, WV
26501-2421

Practice Phone: 304-598-4835
Practice Fax: 304-285-7388