DR. MEREDITH LUBOW (PH.D.) – Psychologist, NPI 1275897597

DR. MEREDITH LUBOW (PH.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2193 (OR). The NPI Number for DR. MEREDITH LUBOW (PH.D.) is 1275897597

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEREDITH LUBOW (PH.D.)
NPI
1275897597
Phone
(503) 756-4303
Address
4400 BROADWAY ST
Enumeration Date
2 July 2012
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036121000
Graduation Year
2009 (17 years ago)
PAC ID
6901052737
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20120810000506
Address ID
OR970628607TU18765RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

Provider Addresses for DR. MEREDITH LUBOW (PH.D.)

  • 4400 BROADWAY ST

    SUITE 100

    KANSAS CITY, MO 641113498

    Phone: (503) 756-4303

    Type: Mailing

  • 14105 STEARNS ST

    OVERLAND PARK, KS 662218089

    Phone: (503) 756-4303

    Type: Location

  • PO BOX 674

    NEWBERG, OR 971320674

    Phone: (503) 756-4303

    Type: Mailing

  • 18765 SW BOONES FERRY RD

    TUALATIN, OR 970628496

    Phone: (503) 612-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120810000506IClinical PsychologistORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
-OR
Clinical PsychologistOR
Clinical Social WorkerOR
Mental Health CounselorTX
Clinical Social WorkerCA
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

Is there an official ID for DR. MEREDITH LUBOW (PH.D.) in U.S. healthcare records?
The official identifier for DR. MEREDITH LUBOW (PH.D.) is NPI 1275897597.
Active or inactive — what applies to DR. MEREDITH LUBOW (PH.D.)?
You should see DR. MEREDITH LUBOW (PH.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. MEREDITH LUBOW (PH.D.)?
DR. MEREDITH LUBOW (PH.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. MEREDITH LUBOW (PH.D.) registered?
Use Kansas City, Missouri as the headline location for DR. MEREDITH LUBOW (PH.D.) here.
When was this NPI issued?
Enumeration for DR. MEREDITH LUBOW (PH.D.) is noted as July 2, 2012 where the registry provides it.

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