Active NPI
Elmer Cupino, MD
- Child & Adolescent Psychiatry Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD046183L
- Practice address
- 1695 Main St FL 400
Springfield, MA 01103-1063 - Phone
- (413) 241-3817
- Fax
- (570) 902-7736
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 72629 | MA | |
| Psychiatry Physician | 2084P0800X | MD046183L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 72629 | MA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD046183L | PA | Primary |
Addresses
Primary practice location
1695 Main St FL 400
Springfield, MA 01103-1063
Mailing address
4 Country LN
Douglassville, PA 19518-9627
Phone (570) 617-1268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02873900 | Other | CAPITAL BLUE CROSS | |
| 0012780540003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110516000058 | PA | Practitioner - Psychiatry | 2062698707 |
Reassigns benefits to 2 organizations Practice locations: Pottstown, PA |
| I20230816002116 | MA | Practitioner - Psychiatry | 2062698707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16 S Centre St
Pottsville, PA 17901-3501
Phone (570) 628-5234
1695 Main St
FL 400
Springfield, MA 01103-1063
Phone 4137395572101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046183L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redco Group, LLC | Current | Accepting new patients | |
| Community Services Institute, Inc. | Current | Accepting new patients | |
| Pottstown Clinic Company LLC | Current | Accepting new patients | |
| Redco Group, LLC | Current | Accepting new patients | |
| Merakey Pennsylvania | Past | Accepting new patients | |
| Medical Imaging of Lehigh Valley PC | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Lehigh Valley Hospital - Schuylkill | Past | Accepting new patients |
Locations
1695 Main St
Fl 400
Springfield, MA 01103
Phone (413) 739-5572
305 Second Ave
Collegeville, PA 19426
Phone (484) 961-8220
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MA
- NPI 1255450631
MA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stroudsburg, PA
- NPI 1538145453
PA
-
- Community/Behavioral Health Agency
- Stroudsburg, PA
- NPI 1013132190
-
- Community/Retail Pharmacy
- Pottsville, PA
- NPI 1497377501
-
- Diagnostic Radiology Physician
- Allentown, PA
- NPI 1134178023
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1467252536
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1376518977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 COUNTRY LN",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195189627",
"telephone_number": "570-617-1268",
"fax_number": "570-902-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST FL 400",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031063",
"telephone_number": "413-241-3817",
"fax_number": "570-902-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPINO",
"first_name": "ELMER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "72629",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD046183L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "72629",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD046183L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02873900",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012780540003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.