Lynn Lupini, PH.D., PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011489 Issued in MI

Legal business name

LYNN LUPINI, PH.D., PLLC

Practice address

309 W Walnut St
Kalamazoo, MI 49007-5176

Phone

(269) 274-8003

Fax

(269) 979-2841

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lynn N. Lupini, PH.D., LICENSED PSYC

Title

Owner

Phone

(269) 979-3881

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1790793131",
    "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": "269-274-8003",
            "fax_number": "269-979-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN LUPINI, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "LUPINI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-979-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LICENSED PSYC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011489",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI9118",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0P11970",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnlupini@mparkcounseling.com",
            "affiliation": "N",
            "address_1": "309 W Walnut St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Lynch, MD
• Jared Roger Lynch
• Jamie Lyngstad, OTR/L
• Lynn Hyland DDS PCS PC
• Lynn J. Kern, M.D., P.C.
• Laura Jane Lynn-Lee, BS
• Christopher Lynn, LMSW, CAADC
• Sandra Lynn Lynne, RN
• Lydia Lyons
• Dona Lytle

• Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.