Active NPI
Elena Luchanok, M.D.
- Psychiatry Physician
- Derry, NH
National Provider Identifier
1033311626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 14765
- Practice address
- 14A Tsienneto Rd
Derry, NH 03038-1505 - Phone
- (603) 537-1300
- NPI assigned
- Jun 5, 2007
- Last updated
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 245048 | MA | |
| Psychiatry Physician | 2084P0800X | 14765 | NH | Primary |
Addresses
Primary practice location
14A Tsienneto Rd
Derry, NH 03038-1505
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245048 | MA | MD | Psychiatry Physician |
| 14765 | NH | MD | Psychiatry Physician |
Interoperability endpoints
- elenaluchanok@dmcnh.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1033311626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BUTTRICK RD STE 102",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533417",
"telephone_number": "603-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14A TSIENNETO RD",
"city": "DERRY",
"state": "NH",
"postal_code": "030381505",
"telephone_number": "603-537-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCHANOK",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "245048",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "14765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.