Mark Stephen Lum, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13344 Issued in CA

Practice address

1801 E Heim Ave
Suite 204
Orange, CA 92865-3020

Phone

(714) 282-9713

Fax

(714) 282-8016

NPI assigned

Jul 10, 2006

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Lum Psychological Services

  • Clinical Psychologist
  • Orange, CA
  • NPI 1992986616
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1083648752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80736",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926880736",
            "telephone_number": "949-713-9846",
            "fax_number": "949-713-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E HEIM AVE",
            "address_2": "SUITE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653020",
            "telephone_number": "714-282-9713",
            "fax_number": "714-282-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Yue Lui
• Carina Luisa
• Kathryn Nicole Lujan
• Pui Ki Luk
• Dylan Lukato
• Meachelle Lum
• Melissa Lum, MD
• Lumina Hospice, Inc.
• Jesabel Luna Corrales
• Luna Hospice Care

• Clinical Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.