LUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC
NPI 1497170971
Psychologist - Clinical in Ridgewood, NJ

Q: What is Lukin Center For Psychotherapy And Advancement PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 20, 2014

20 WILSEY SQ, RIDGEWOOD, NJ 07450(201) 409-0393 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lukin Center For Psychotherapy And Advancement Pc NPPES

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

LUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC (NPI 1497170971) is a healthcare organization registered as a clinical in Ridgewood, New Jersey and active in the NPI registry since February 2014. The organization lists Konstantin Lukin, President, as its authorized official.

NPPES Registry Identity

NPI1497170971

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC

Location Address20 WILSEY SQRidgewood, NJ 07450-3793

Mailing Address20 Wilsey SqRidgewood, NJ 07450-3793 · (201) 409-0393

Phone(201) 409-0393

Organization SubpartNo

Authorized OfficialKonstantin LukinPresident · (917) 903-1901

Enumeration DateFebruary 20, 2014

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1497170971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 35SI00522900

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

20 WILSEY SQ, Ridgewood, NJ 07450

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lukin Center For Psychotherapy And Advancement Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lukin Center For Psychotherapy And Advancement PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Brian Amorello, PH.D., LPC

Clinical Psychologist

NPI 1447773544

20 WILSEY SQ
Ridgewood, NJ 07450

(973) 767-9384

✔ PECOS✔ Accepts MedicareSame address

Andrea Tesher, PSYD

Clinical Psychologist

NPI 1093217135

20 WILSEY SQ
Ridgewood, NJ 07450

(201) 396-6793

✔ PECOS✔ Accepts MedicareSame address

Konstantin Lukin

Clinical Psychologist

NPI 1457776007

223 BLOOMFIELD ST STE 114
Hoboken, NJ 07030

(917) 903-1901

✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lukin Center For Psychotherapy And Advancement PC's NPI number?

The NPI number for Lukin Center For Psychotherapy And Advancement PC is 1497170971. It was assigned to this organization in the NPPES registry on February 20, 2014.

Where is Lukin Center For Psychotherapy And Advancement PC located?

Lukin Center For Psychotherapy And Advancement PC is located at 20 Wilsey Sq, Ridgewood, NJ 07450. The listed phone number is (201) 409-0393.

What is Lukin Center For Psychotherapy And Advancement PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lukin Center For Psychotherapy And Advancement PC enrolled in Medicare?

Yes. Lukin Center For Psychotherapy And Advancement PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lukin Center For Psychotherapy And Advancement PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Lukin Center For Psychotherapy And Advancement PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lukin Center For Psychotherapy And Advancement PC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.