Alexander Ante Lupis

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05660 Issued in MD

Practice address

4000 Massachusetts Ave NW
Apt 1221
Washington, DC 20016-5114

Phone

(202) 870-2690

Fax

(202) 333-3538

NPI assigned

Jan 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brooklyn Psychodynamic Consulting PLLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1336906759
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1689031114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MASSACHUSETTS AVE NW",
            "address_2": "APT 1221",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165114",
            "telephone_number": "202-870-2690",
            "fax_number": "202-333-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MASSACHUSETTS AVE NW",
            "address_2": "APT 1221",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165114",
            "telephone_number": "202-870-2690",
            "fax_number": "202-333-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPIS",
        "first_name": "ALEXANDER",
        "middle_name": "ANTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Lund, LCSW
• Michael S Lundy, MD
• Jennifer M Lung, CRNP
• Nancy Luo
• Nhu Thuy Luong
• Penn Lupovich, MD
• Heather V Luquette, MS
• Nicole Lurie, MD, MSPH
• Loura E Lurshe Churye
• Yolanda Lusane, MA, PT

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.