LUMIN HEALTH PG – NPI #1538819909
Clinic/Center

LUMIN HEALTH PG is an AHC clinic located in NEWTON, MA. NPPES has assigned the NPI number 1538819909 to LUMIN HEALTH PG on March 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Nov 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUMIN HEALTH PG below.

NPI Profile for
LUMIN HEALTH PG

NPI Number
1538819909
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUMIN HEALTH PG
Primary location
10 LANGLEY RD STE 200
NEWTON, MA 02459-1972
Phone: (617) 863-8810 Fax: (617) 863-8844
1 Other location(s):
50 Church St Fl 3
Cambridge, MA 02138-3726
Phone: (617) 863-8810
Fax: (617) 863-8844
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BENJAMIN YUDKOFF
OWNER
Phone: (201) 953-0432
Updated
Certification Date
Nov 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.