LUMEN HEALTH AND PSYCHOLOGICAL SERVICES INC. (NPI# 1366978843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366978843 |
| Entity Type | Organization |
| Organization Name | LUMEN HEALTH AND PSYCHOLOGICAL SERVICES INC. |
| Other Organization Name | LUMEN HEALTH SERVICES |
| Practice Address |
8421 Auburn Blvd Suite 110 Citrus Heights CA 95610 |
| Mailing Address |
8421 Auburn Blvd Suite 110 Citrus Heights CA 95610-0359 |
| Practice Telephone | 9165318359 |
| Mailing Telephone | 9165318359 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | DR. ROBERT RYAN GUNTON (PRESIDENT/CEO) |
| Authorized Official Telephone | 9165318359 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26327 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lumen Health Services | Former Legal Business Name - Organization |
| Street Address |
8421 AUBURN BLVD SUITE 110 |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123724 | Jackie O'malley-gomez | Marriage & Family Therapist | 8421 Auburn Blvd, Building 3, Citrus Heights, CA 95610-0359 | 2006-07-28 |
| 1760096234 | Brooke Noelle Wahlund | Counselor | 8421 Auburn Blvd, Citrus Heights, CA 95610-0359 | 2020-09-02 |
| 1225679038 | Meranda Mae Ditto | Social Worker | 8421 Auburn Blvd, Citrus Heights, CA 95610-0359 | 2019-10-02 |
| 1730737446 | Stanford Youth Solutions | Community/Behavioral Health | 8421 Auburn Blvd, Suites 3, 125, & 130, Citrus Heights, CA 95610-0359 | 2019-08-27 |
| 1053851527 | Russell Harold Montgomery | Counselor | 8421 Auburn Blvd, Building 3, Citrus Heights, CA 95610-0359 | 2017-03-03 |
| 1306386719 | Brian Braid | Marriage & Family Therapist | 8421 Auburn Blvd, Bldg#3, Citrus Heights, CA 95610-0359 | 2017-03-03 |
| 1356892871 | Lori Susanne Rich | Marriage & Family Therapist | 8421 Auburn Blvd, Citrus Heights, CA 95610-0359 | 2016-10-19 |
| 1316399736 | Stan Smith Chiropractic,a California Professional Corporation | Chiropractor | 8421 Auburn Blvd, Suite 105, Citrus Heights, CA 95610-0359 | 2016-07-09 |
| 1275993545 | Gain Choy Saetern | Social Worker | 8421 Auburn Blvd, 265, Citrus Heights, CA 95610-0359 | 2016-03-01 |
| 1700257144 | Ashley Morse | Social Worker | 8421 Auburn Blvd, Citrus Heights, CA 95610-0359 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134440613 | Katherine L. Wilson | Psychologist | 5750 Sunrise Blvd Ste 130-f, Citrus Heights, CA 95610-7634 | 2010-06-18 |
| 1871742718 | Robert Ryan Lucas Gunton | Psychologist | 8421 Auburn Blvd Ste 110, Citrus Heights, CA 95610-0392 | 2008-09-16 |
| 1861561326 | Jean M. Neill | Psychologist | 8340 Auburn Blvd Ste 150, Citrus Heights, CA 95610-0389 | 2006-11-07 |
| 1013101294 | Angela Maria Curiale | Psychologist | 6060 Sunrise Vista Dr, Ste 3110, Citrus Heights, CA 95610-7058 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
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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.