Lukin Center for Psychotherapy and Advancement PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00522900 Issued in NY

Legal business name

LUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC

Practice address

20 Wilsey SQ
Ridgewood, NJ 07450-3793

Phone

(201) 409-0393

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Konstantin LukinNPI 1457776007

Title

President

Phone

(917) 903-1901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Konstantin Lukin

  • Clinical Psychologist
  • Hoboken, NJ
  • NPI 1457776007
  Medicare reassignment Care Compare group Authorized official
• Brian Amorello, PH.D., LPC

  • Psychologist
  • Ridgewood, NJ
  • NPI 1447773544
  Medicare reassignment Care Compare group
• Andrea Kara Tesher, PSYD

  • Psychologist
  • Ridgewood, NJ
  • NPI 1093217135
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1497170971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILSEY SQ",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503793",
            "telephone_number": "201-409-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILSEY SQ",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503793",
            "telephone_number": "201-409-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LUKIN",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-903-1901"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "35SI00522900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrine Valentina Luddy, PA-C
• Alba Ludmer, PSYCHOLOGIST
• Raul Isidro Ludmer, MD
• Susan J Lukas, MSW, LCSW
• Victoria Catherine Lukas, LCSW
• Danielle Luppino, LSW
• Lauren Luppino, LCSW
• Marna Lynn, L.C.S.W.
• M & C Drug Inc
• M Clemente DMD PA

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.