LAURA KUPPERMAN-CARON PH.D.
NPI 1962803197
Psychologist - Clinical in Chicago, IL

Q: What is Laura Kupperman-caron's NPI number?

The NPI number for Laura Kupperman-caron is 1962803197. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Q: What is Laura Kupperman-caron's specialty?

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

Q: Is Laura Kupperman-caron enrolled in Medicare?

No. Laura Kupperman-caron has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 08, 2014Opted out of Medicare · through Feb 3, 2028

30 N MICHIGAN AVE STE 901, CHICAGO, IL 60602(312) 380-9155 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Jun 14, 2023 (2 updates tracked since 2023).

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About Laura Kupperman-caron Ph.d. NPPES

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

LAURA KUPPERMAN-CARON PH.D. (NPI 1962803197) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010882) and active in the NPI registry since September 2014. She has opted out of Medicare through February 3, 2028.

NPPES Registry Identity

NPI1962803197

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLAURA KUPPERMAN-CARONCredential: PH.D.

Location Address30 N MICHIGAN AVE STE 901Chicago, IL 60602-3767

Mailing Address30 N Michigan Ave Ste 901Chicago, IL 60602-3767 · (312) 380-9155

Phone(312) 380-9155

Sole ProprietorNo

Enumeration DateSeptember 8, 2014

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1962803197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IL · 071.010882✔ Licensed in FL · PY 9118

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.

30 N MICHIGAN AVE STE 901, Chicago, IL 60602

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Kupperman-caron Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2026 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2026

Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

MR. THOMAS PATRICK THARAYIL LCSW

Social Worker (Clinical)