Charles Michael Lepkowsky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 9118 Issued in CA

Practice address

1143 Deer Trail LN
Solvang, CA 93463-9519

Phone

(805) 688-1229

Fax

(805) 686-9382

NPI assigned

May 23, 2005

Last updated

Mar 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1083617252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 DEER TRAIL LN",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934639519",
            "telephone_number": "805-688-1229",
            "fax_number": "805-686-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 DEER TRAIL LN",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934639519",
            "telephone_number": "805-688-1229",
            "fax_number": "805-686-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPKOWSKY",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 9118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "C107937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004226734",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CP9118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Kulikov-Ramirez, LMFT
• Karlin Ladera
• Roger I Lane, MD
• Hyun Ku Lee, ACUPUNCTURE
• Kyle W Lemon, M.D.
• Life Chiropractic
• Los Olivos Emergency Physicians, a Medical Corporation
• Miguel Loya, D.O.
• Monique Machado, FNP-C
• Jeffrey B. Magnes, M.D.

• Clinical Psychologist in Solvang, CA
• Providers in Solvang, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.