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NPI Code Detail

MEDICARE: DR. RICHARD WILLIAM LUPATKIN ED.D., LMHC

MEDICARE: DR. RICHARD WILLIAM LUPATKIN ED.D., LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1622MA
2104100000XSocial Worker205659MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1198657OTHERMACOMPSYCH
22113677OTHERMACIGNA
37149365OTHERAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5LM0119OTHERMABLUE CROSS BLUE SHIELD
6383077OTHERMAMAGELLAN
7464217OTHERMAVALUE OPTIONS
816412OTHERMAUNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1386694784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD WILLIAM LUPATKIN ED.D., LMHC
Provider Business Mailing Address
First Line : 15 YORK TER
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-2321
Country : US
Telephone Number : 617-739-1258
Fax Number : 617-232-4145
Provider Business Practice Location Address
First Line : 233 HARVARD ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-5017
Country : US
Telephone Number : 617-739-2052
Fax Number : 617-232-4145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 09/11/2025

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