KARSTEN DIRK KUEPPENBENDER M.D. C.G.P. NPI 1265468292

NPI Information

  • NPI: 1265468292
  • Provider Name: KARSTEN DIRK KUEPPENBENDER, M.D., C.G.P.
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1130 MASSACHUSETTS AVE
    THIRD FLOOR
    CAMBRIDGE, MA
    ZIP 02138
  • Phone: (617) 855-3966

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NPI Details

Karsten Dirk Kueppenbender, M.D., C.G.P. is an addiction medicine psychiatry neurology in Cambridge, MA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Karsten Dirk Kueppenbender, M.D., C.G.P. NPI is 1265468292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1130 MASSACHUSETTS AVE
THIRD FLOOR
CAMBRIDGE, MA
ZIP 02138-204
Phone: (617) 855-3966
Fax: (617) 441-8303

The NPI 1265468292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry219749MASSACHUSETTSNo
22084A0401XPsychiatry & NeurologyAddiction Medicine219749MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I01623MEDICARE UPINMASSACHUSETTS
2J29279OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
3A36475MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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