Lukin Center For Psychotherapy And Advancement PC
Psychologist, Clinical in Ridgewood, New Jersey
1497170971- Practice location
- 20 Wilsey Sq, Ridgewood, NJ 07450-3793
- Phone
- 201-409-0393
- Fax
- —
- Last updated
- February 12, 2025
Lukin Center For Psychotherapy And Advancement PC is a healthcare organization based in Ridgewood, NJ. Lukin Center For Psychotherapy And Advancement PC practices in Ridgewood, NJ. The NPI Number for Lukin Center For Psychotherapy And Advancement PC is 1497170971 and holds a License No. 35SI00522900 (NY). The current practice location address for Lukin Center For Psychotherapy And Advancement PC is 20 Wilsey Sq, Ridgewood, NJ 07450-3793 and can be reached out via phone at 201-409-0393.
Provider Profile Details
- NPI Number
- 1497170971
- Provider Name
- Lukin Center For Psychotherapy And Advancement PC
- Provider Entity Type
- Organization
- Address
- 20 Wilsey Sq, Ridgewood, NJ 07450-3793
- Phone Number
- 201-409-0393
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Konstantin Lukin · President · 917-903-1901
- Provider Enumeration Date
- February 20, 2014
- Last Update Date
- February 12, 2025
- Certification Date
- February 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Wilsey Sq
Ridgewood, NJ 07450-3793 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3793
- Phone Number
- 201-409-0393
Provider Business Mailing Address Details
- Address
- 20 Wilsey Sq
Ridgewood, NJ 07450-3793 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3793
- Phone Number
- 201-409-0393
License Information
- License Number
- 35SI00522900
- License State
- NY
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lukin Center For Psychotherapy And Advancement PC?
The NPI number of Lukin Center For Psychotherapy And Advancement PC is 1497170971. It was assigned on February 20, 2014 and is currently active in the NPPES registry.
What is the specialty of Lukin Center For Psychotherapy And Advancement PC?
Lukin Center For Psychotherapy And Advancement PC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 35SI00522900.
Where does Lukin Center For Psychotherapy And Advancement PC practice?
The practice location is 20 Wilsey Sq, Ridgewood, NJ 07450-3793. The office can be reached at 201-409-0393 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497170971 directly on the NPPES registry website.