Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lukin Center for Psychotherapy and Advancement PC

Organization Clinical Psychologist · NPI 1497170971

Lukin Center for Psychotherapy and Advancement PC is a Clinical Psychologist 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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