DR. SAMUEL DAVID LUSTGARTEN PHD
NPI 1477197929
Psychologist - Counseling in Madison, WI

Active since October 28, 2019PECOS Enrolled
702 N BLACKHAWK AVE STE 205, MADISON, WI 53705(720) 260-4362(971) 999-0817 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2022, Dec 23, 2022, Sep 22, 2021 and 4 more (7 updates tracked since 2019).

About Dr. Samuel David Lustgarten Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL DAVID LUSTGARTEN PHD (NPI 1477197929) is an individual counseling provider in Madison, Wisconsin, licensed in Wisconsin (3717-57) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477197929
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. SAMUEL DAVID LUSTGARTENCredential: PHD
Location Address702 N BLACKHAWK AVE STE 205Madison, WI 53705-3357
Mailing Address702 N Blackhawk Ave Ste 205Madison, WI 53705-3357 · (720) 260-4362 · Fax (971) 999-0817
Fax(971) 999-0817
Sole ProprietorYes
Enumeration DateOctober 28, 2019
Last NPPES UpdateDecember 29, 20227 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1477197929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in WI · 3717-57 Licensed in OR · 3178
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
702 N BLACKHAWK AVE STE 205, Madison, WI 53705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samuel David Lustgarten Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
702 N BLACKHAWK AVE STE 205
MADISON, WI 53705
Counselor (Mental Health)
702 N BLACKHAWK AVE STE 205
MADISON, WI 53705
Clinic/Center (Mental Health (Including Community Mental Health Center))
702 N BLACKHAWK AVE STE 205
MADISON, WI 53705
Counselor (Mental Health)
702 N BLACKHAWK AVE STE 205
MADISON, WI 53705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Lustgarten's NPI number?

The NPI number for Samuel Lustgarten is 1477197929. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Samuel Lustgarten located?

Samuel Lustgarten practices at 702 N Blackhawk Ave Ste 205, Madison, WI 53705. The listed phone number is (720) 260-4362.

What is Samuel Lustgarten's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Samuel Lustgarten enrolled in Medicare?

Yes. Samuel Lustgarten is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Lustgarten accept?

Health plans from Quartz list Samuel Lustgarten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Lustgarten was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.