Individual provider Active NPI

Judy Miriam Kupchan, MA

  • Clinical Psychologist
  • East Lansing, MI
National Provider Identifier
1649199597
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6352001277 Issued in MI
Practice address
2720 E Lansing Dr
East Lansing, MI 48823-7754
Phone
(517) 337-2900
Fax
(517) 351-1279
NPI assigned
Jul 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6352001277 MI Primary

Addresses

Primary practice location

2720 E Lansing Dr
East Lansing, MI 48823-7754

Mailing address

631 Worthington Dr
Lansing, MI 48906-5591
Phone (224) 360-3286

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2720 E Lansing Dr
East Lansing, MI 48823-7754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Service, PLLC PastSince Dec 9, 2019 Accepting new patients
Comprehensive Psychological Services PC PastSince Aug 5, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1649199597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 WORTHINGTON DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065591",
            "telephone_number": "224-360-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237754",
            "telephone_number": "517-337-2900",
            "fax_number": "517-351-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCHAN",
        "first_name": "JUDY",
        "middle_name": "MIRIAM",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352001277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.