Michael David Lukens, PHD., PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4410 Issued in FL

Legal business name

MICHAEL DAVID LUKENS, PHD., PA

Practice address

169 Tequesta Dr
Suite 23E
Tequesta, FL 33469-2768

Phone

(561) 744-1169

NPI assigned

Jul 13, 2009

Last updated

Dec 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Lukens, PH.D

Title

President

Phone

(561) 744-1169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1073742961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 TEQUESTA DR",
            "address_2": "SUITE 23E",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692768",
            "telephone_number": "561-744-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 TEQUESTA DR",
            "address_2": "SUITE 23E",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692768",
            "telephone_number": "561-744-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DAVID LUKENS, PHD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "LUKENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-744-1169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.