Individual provider Active NPI

Louis Krupnick, ED.D.

  • Psychologist
  • Longmont, CO
National Provider Identifier
1932290525
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1832 Issued in CO
Practice address
500 Kimbark St
Suite 200
Longmont, CO 80501-5583
Phone
(303) 651-1515
Fax
(720) 652-0408
NPI assigned
Sep 27, 2006
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1832 CO Primary

Addresses

Primary practice location

500 Kimbark St
Suite 200
Longmont, CO 80501-5583

Mailing address

500 Kimbark St
Suite 200
Longmont, CO 80501-5583
Phone (303) 651-1515

Other identifiers 1

IdentifierTypeStateIssuer
1832OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160924000401 CO Practitioner - Clinical Psychologist 0547557183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1832COMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1932290525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIMBARK ST",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015583",
            "telephone_number": "303-651-1515",
            "fax_number": "720-652-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIMBARK ST",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015583",
            "telephone_number": "303-651-1515",
            "fax_number": "720-652-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPNICK",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1832",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.