Marijo New Lucas, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006577L Issued in PA

Practice address

1788 Wilmington Pike
Suite 2700
Glen Mills, PA 19342-8181

Phone

(610) 299-3478

NPI assigned

Jun 24, 2009

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: nphmlucas@yourcarecommunity.org

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1104054402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 WILMINGTON PIKE",
            "address_2": "SUITE 2700",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428181",
            "telephone_number": "610-299-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MARIJO",
        "middle_name": "NEW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006577L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Lewison
• Anne Margaret Light
• Alexis Lombardo
• Benjamin Andrew Lopchinsky, RPH.
• Elizabeth Lovetri, NP
• John Richard Luksch, D.O.
• David Luu
• Marybeth Lynn, CRNP
• M3 Eyecare, PLLC (Pearle Vision)
• Kasey Macdonald

• Clinical Psychologist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.