Provider Demographics
NPI:1053484618
Name:KURPINSKY, MAUREEN T (PHD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:T
Last Name:KURPINSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MARIN STREET
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901
Mailing Address - Country:US
Mailing Address - Phone:415-957-0927
Mailing Address - Fax:415-227-9997
Practice Address - Street 1:213 MARIN STREET
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901
Practice Address - Country:US
Practice Address - Phone:415-957-0927
Practice Address - Fax:415-227-9997
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14586103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL145860Medicare ID - Type Unspecified