LUMINARA INTEGRATIVE PSYCHIATRY NPI 1336027143

NPI Information

  • NPI: 1336027143
  • Provider Name: LUMINARA INTEGRATIVE PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 27 S WATERFORD RD
    DALTON, PA
    ZIP 18414
  • Phone: (610) 420-8832

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NPI Details

LUMINARA INTEGRATIVE PSYCHIATRY is a psychiatric/mental health nurse practitioner in Dalton, PA. LUMINARA INTEGRATIVE PSYCHIATRY NPI is 1336027143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27 S WATERFORD RD
DALTON, PA
ZIP 18414-752
Phone: (610) 420-8832

The provider's authorized official is Irene Biondo .
The authorized official title is Pmhnp-bc and has the following contact phone number (570) 445-1631.

The enumeration date for this NPI number is 8/21/2025 and was last updated on 8/21/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
11811756240MEDICAIDPENNSYLVANIA
21902780901MEDICAIDPENNSYLVANIA

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: 3/30/2025

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