Larisa Kouperschmidt MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

246627 Issued in MA

Legal business name

LARISA KOUPERSCHMIDT MD LLC

Practice address

1212 N California St
Stockton, CA 95202-1552

Phone

(209) 468-8750

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Larisa Kouperschmidt, MD

Title

Owner

Phone

(617) 905-2697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1447594882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST STE 104",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601639",
            "telephone_number": "617-244-3322",
            "fax_number": "617-581-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA KOUPERSCHMIDT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "KOUPERSCHMIDT",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-905-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "246627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralene Marie Lara
• Rosa Paulina Olmedo Lara
• Vanessa Lara
• Lorraine Lares
• Alexander A Largaespada, LMFT
• Sherry A. Larkin, LCSW
• Zion Larkins
• Jasmine Larose
• Larsen Dunnicliff Physical Therapy Inc
• Asia Kay Larsen

• Psychiatry Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.