LUMITOT


Address: 198 Capricorn, Irvine, CA 92618-1186
Phone: 9494390195

LUMITOT (NPI# 1275131401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275131401
Entity Type Organization
Organization Name LUMITOT
Practice Address 198 Capricorn
Irvine
CA 92618-1186
Practice Telephone 9494390195
Mailing Telephone 9494390195
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Authorized Official Name DR. KAREN LISSETTE MOLANO (CEO)
Authorized Official Telephone 9494390195
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 198 CAPRICORN
City IRVINE
State CA
Zip Code 92618-1186

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1528253499 Regents of University of California Psychologist 19722 Macarthur Blvd, Irvine, CA 92612-2404 2007-09-13
1003001009 Regents of University of California Psychologist 19262 Jamboree Rd, Irvine, CA 92612-2502 2007-09-12
1063632313 Zena Denise Polly Psychologist 111 Pacifica, Suite 125, Irvine, CA 92618-3310 2007-04-27
1194847350 Michelle Aimee Fortier Psychologist 1 Medical Plaza Dr, Irvine, CA 92697-0001 2007-04-06
1255402657 Laurence David Becker Psychologist 7 Corporate Park, Suite 250, Irvine, CA 92606-5107 2006-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1073144010 Melissa Alexis Ramirez Psychologist 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 2020-01-29
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1003478405 Melissa Berrenge-browde Psychologist 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 2019-07-05
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Competitor

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City IRVINE
Zip Code 92618

Improve Information

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Dataset Information

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.

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