KIMBERLY A BROWN-LUPIA, PhD — NPI 1871516831 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent in FORT MYERS, FL)

CMS-1500 Box 24J / 33a • NPI

1871516831

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC2200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent

Box 32 Service Location & ZIP+4

9671 GLADIOLUS DR STE 109, FORT MYERS, FL, 33908-7684

✓ 9-Digit EDI 837 ZIP+4 (33908-7684)

Practice Phone & Referral Fax

(239) 343-6788

Fax: (239) 343-4179

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871516831 (KIMBERLY A BROWN-LUPIA, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871516831` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIMBERLY A BROWN-LUPIA, PhD
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent NUCC Code: `103TC2200X` (Psychologist, Clinical Child & Adolescent)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9671 GLADIOLUS DR STE 109, FORT MYERS, FL, 33908-7684
Practice Telephone / Fax	Tel: (239) 343-6788 \| Fax: (239) 343-4179
Administrative Mailing Address	PO BOX 2147, FORT MYERS, FL, 33902-2147
Enumeration & Last Sync	Enumerated: 2006-07-25 \| CMS Record Updated: 2026-07-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9671 GLADIOLUS DR STE 109, FORT MYERS, FL, 33908-7684

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Plain-English Taxonomy & CMS Crosswalk (103TC2200X)

What Does Taxonomy Code 103TC2200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC2200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical Child & Adolescent for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIMBERLY A BROWN-LUPIA, PhD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: FL \| License: `PY13287` \| Primary: Secondary
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: NY \| License: `019158` \| Primary: Secondary
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: FL \| License: `PY13287` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KIMBERLY A BROWN-LUPIA, PhD (NPI #1871516831)