Individual provider Active NPI

Lynn Nylund Lupini, PH.D.

  • Counseling Psychologist
  • Kalamazoo, MI
National Provider Identifier
1477561884
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301011489 Issued in MI
Practice address
309 W Walnut St
Kalamazoo, MI 49007-5176
Phone
(269) 979-3881
Fax
(269) 979-3881
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301011489 MI Primary

Addresses

Primary practice location

309 W Walnut St
Kalamazoo, MI 49007-5176

Mailing address

5047 W Main St # 317
Kalamazoo, MI 49009-1001
Phone (269) 979-3881

Other identifiers 1

IdentifierTypeStateIssuer
P11970001OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1477561884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 W MAIN ST # 317",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091001",
            "telephone_number": "269-979-3881",
            "fax_number": "269-979-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075176",
            "telephone_number": "269-979-3881",
            "fax_number": "269-979-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPINI",
        "first_name": "LYNN",
        "middle_name": "NYLUND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P11970001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.