Provider Type Icon

LUMINIS HEALTH MEDICAL GROUP LLC NPI 1912306705


NPI Information

NPI: 1912306705
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: MENTAL HEALTH SPECIALIST AT PATHWAYS

Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
175 HARRY S TRUMAN PKWY
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 573-9000
Get Directions

LUMINIS HEALTH MEDICAL GROUP, LLC is a cognitive and behavioral psychologist in Annapolis, MD. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1912306705. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mental Health Specialist At Pathways.

The provider's business location address is:

175 HARRY S TRUMAN PKWY
ANNAPOLIS, MD
ZIP 21401-573
Phone: (410) 573-9000
Fax: (410) 573-9001

The provider's authorized official is Peter Odenwald .
The authorized official title is Vice President and has the following contact phone number (443) 481-6415.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 11/17/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.