LUCID LANE PROVIDERS P.C. NPI 1912507021

NPI Information

NPI: 1912507021
Provider Name: LUCID LANE PROVIDERS, P.C.

Doing Business As: LUCID LANE PROVIDERS, P.C.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA
ZIP 95148
Phone: (630) 589-2730
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LUCID LANE PROVIDERS, P.C. is a mental health counselor in San Jose, CA. LUCID LANE PROVIDERS, P.C. NPI is 1912507021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lucid Lane Providers, P.c..

The provider's business location address is:

3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA
ZIP 95148-514
Phone: (630) 589-2730

The provider's authorized official is Mubeena Siddiqui .
The authorized official title is Director Of Rcm And Compliance and has the following contact phone number (630) 589-2730.

The enumeration date for this NPI number is 10/28/2020 and was last updated on 1/29/2021.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	103TC0700X	Psychologist	Clinical	No
3	103TP2701X	Psychologist	Group Psychotherapy	No
4	1041C0700X	Social Worker	Clinical	No
5	207R00000X	Internal Medicine		No
6	2083X0100X	Preventive Medicine	Occupational Medicine	No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	101YM0800X	Counselor	Mental Health	Yes

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: 4/28/2024

NPI Synchronization or Removal

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