Luminis Health Behavioral Health Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LUMINIS HEALTH BEHAVIORAL HEALTH SERVICES, LLC

Practice address

8118 Good Luck Rd
Lanham, MD 20706-3574

Phone

(301) 623-4350

NPI assigned

May 31, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

LUMIS HEALTH CLINICAL ENTERPRISE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Odenwald

Title

VP

Phone

(443) 481-1000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Luminis Health Behavioral Health Services, LLC

  • Psychiatry Physician
  • Lanham, MD
  • NPI 1750042362

  O20220916000431

  Same enrollment

Tax ID family

Luminis Health Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luminis Health Behavioral Health Services, LLC

  • Psychiatry Physician
  • Lanham, MD
  • NPI 1750042362
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Lee Anderson, M.D.

  • Psychiatry Physician
  • Cambridge, MD
  • NPI 1588642599
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1023757838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 606",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-623-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUMIS HEALTH CLINICAL ENTERPRISE, INC.",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "ODENWALD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "443-481-1000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantay Chiffon Luchie, HHA
• Delphine Lum
• Mirabel Mbachi Lum
• Nayah CHI Lum
• Lumen Christi Medical & Behavioral Health, LLC.
• Luminis Health Behavioral Health Services, LLC
• Luminis Health Doctors Community Medical Center, Inc.
• Luminis Health Doctors Community Medical Center, Inc. (Doctors Community Hospital)
• Luminis Health Imaging, Inc.
• Luminis Health Imaging, Inc.

• Substance Abuse Rehabilitation Facility in Lanham, MD
• Providers in Lanham, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.