Andrea Beatrice Eaton-Lupas, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY61018614 Issued in WA

Practice address

9918 284TH Ave NE Ste a
Carnation, WA 98014-8801

Phone

(206) 705-3019

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Andrea Beatrice Lupas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seattle Children'S Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1366091373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 284TH AVE NE STE A",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148801",
            "telephone_number": "206-705-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 284TH AVE NE STE A",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148801",
            "telephone_number": "206-705-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Western Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981213871",
            "country_code": "US",
            "telephone_number": "206-705-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON-LUPAS",
        "first_name": "ANDREA",
        "middle_name": "BEATRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61018614",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LUPAS",
            "middle_name": "BEATRICE",
            "prefix": "DR.",
            "credential": "PHD, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos Cruz, COTA
• Donald Joseph David, LPN
• Edmund Joseph Decato, PA-SA
• Ginette Marie Didomenico, ARNP
• Sarah Luann Dodge, D.C.
• Siri Gillespie, MSW, MED, PHD
• Richard Allen Green, RPT
• Robin Anne Halloran, RN
• Timarie Rae Hansen, L.M.T.
• Maria Hatem

• All providers in Carnation, WA
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.