Individual provider Active NPI

Laurel S. Lipshutz, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1184721771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD016275E Issued in PA
Practice address
601 Walnut St
The Curtis Center, Suite 960W
Philadelphia, PA 19106-3332
Phone
(215) 923-7851
Fax
(215) 592-7853
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD016275E PA Primary

Addresses

Primary practice location

601 Walnut St
The Curtis Center, Suite 960W
Philadelphia, PA 19106-3332

Mailing address

601 Walnut St
The Curtis Center, Suite 960W
Philadelphia, PA 19106-3332
Phone (215) 923-7851

Other identifiers 1

IdentifierTypeStateIssuer
LI89426OtherPABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000263 PA Practitioner - Psychiatry 5496763351 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2400 Chestnut St
Apt 1503
Philadelphia, PA 19103-4319
Phone (215) 923-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184721771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "THE CURTIS CENTER, SUITE 960W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063332",
            "telephone_number": "215-923-7851",
            "fax_number": "215-592-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "THE CURTIS CENTER, SUITE 960W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063332",
            "telephone_number": "215-923-7851",
            "fax_number": "215-592-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSHUTZ",
        "first_name": "LAUREL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD016275E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "LI89426",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.