NPIMap

Organization Active NPI

KS MD Inc

  • Adult Mental Health Clinic/Center
  • Warminster, PA
National Provider Identifier
1730786203
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KS MD INC
Practice address
1190 Old York Rd Ste a&B
Warminster, PA 18974-2047
Phone
(215) 491-9900
Fax
(215) 491-9902
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Katrina Shchupak, MDNPI 1609263516
Title
Owner/Physician
Phone
(347) 285-6188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1190 Old York Rd Ste a&B
Warminster, PA 18974-2047

Mailing address

13 Summit Square Ctr Unit 303
Langhorne, PA 19047-1078

Other practice location 1

1800 JFK Blvd Ste 300
Philadelphia, PA 19103-7402
Phone (445) 776-7637

National Provider Directory

National Provider Directory

Locations

760 Woodbourne Rd
Langhorne, PA 19047

1190 Old York Rd
Ste Ab
Warminster, PA 18974
Phone (215) 491-9900

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1730786203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SUMMIT SQUARE CTR UNIT 303",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 OLD YORK RD STE A&B",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742047",
            "telephone_number": "215-491-9900",
            "fax_number": "215-491-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 JFK Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037402",
            "country_code": "US",
            "telephone_number": "445-776-7637",
            "fax_number": "267-491-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SHCHUPAK",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "347-285-6188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.