1518938224 NPI number — MS. CATHERYN ROSE LUNA L.P.C., NCC, ATR-BC

Table of content: MS. CATHERYN ROSE LUNA L.P.C., NCC, ATR-BC (NPI 1518938224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518938224 NPI number — MS. CATHERYN ROSE LUNA L.P.C., NCC, ATR-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUNA
Provider First Name:
CATHERYN
Provider Middle Name:
ROSE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.P.C., NCC, ATR-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518938224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5151 KATY FWY
Provider Second Line Business Mailing Address:
305
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77007-2260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-880-9500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5151 KATY FWY
Provider Second Line Business Practice Location Address:
305
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77007-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-880-9500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  P0308037 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 444 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4010012700 . This is a "QUAL-CHOICE" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 71-0401764 . This is a "CORPHEALTH" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 116399726 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 926012 . This is a "USA MANAGED CARE" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 2191103 . This is a "CIGNA BEHAVIORAL HEALTH" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 5X607 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 60054 . This is a "AETNA" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: MIS 719365000 . This is a "MAGELLAN" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 267808409LUN . This is a "UNITY MANAGED M.H. CO." identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 231182 . This is a "COMPSYCH" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 345444 . This is a "MHN NETWORK" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com