MICHAEL DAVID LUSTER (NPI# 1164588489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164588489 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID LUSTER |
| Credential | L.P.C. |
| Practice Address |
15650 N Black Canyon Hwy B 130 Phoenix AZ 85053-4064 |
| Mailing Address |
6708 W Utopia Rd Glendale AZ 85308-5507 |
| Practice Telephone | 6025488733 |
| Practice Fax Number | 6025483112 |
| Mailing Telephone | 6235660398 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
L.P.C 2479 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
15650 N BLACK CANYON HWY B 130 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919669 | Habes Sawalqah | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-08-19 |
| 1992327670 | Sarah Bald | Psychologist | 15650 N Black Canyon Hwy, Phoenix, AZ 85053-4064 | 2020-05-15 |
| 1336695725 | Northview Pain Treatment Center, Pllc | Clinic/Center | 15650 N Black Canyon Hwy, B121, Phoenix, AZ 85053-4064 | 2016-08-26 |
| 1376848416 | Ronald R Summerhill, PC | Counselor | 15650 N Black Canyon Hwy, Suite B -155, Phoenix, AZ 85053-4069 | 2011-01-21 |
| 1619958618 | Marcia A Avakian | Physician Assistant | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-11-08 |
| 1639164833 | Pediatric Group Specialists, Ltd. | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-09-13 |
| 1699768929 | Harold Magalnick | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-08-23 |
| 1366435612 | Gina D Montion | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-08-23 |
| 1538152780 | Marianne Borch-christensen | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-08-23 |
| 1023000445 | Luis Carlos Arroyo Brito | Pediatrics | 15650 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85053-4064 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.