Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lukin Center for Psychotherapy and Advancement PC

Organization Clinical Psychologist · NPI 1497170971

Lukin Center for Psychotherapy and Advancement PC provides Clinical Psychologist services in Ridgewood, New Jersey. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Wilsey Sq
Ridgewood, NJ 07450-3793
Phone: (201) 409-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00522900 (NY)

Record details

NPI number1497170971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Konstantin Lukin — President · (917) 903-1901
NPI enumeratedFebruary 20, 2014
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address20 Wilsey Sq, Ridgewood, NJ 07450-3793

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