Active NPI
Luchy Julia Secaira, PSY.D
- Clinical Neuropsychologist
- Naples, FL
National Provider Identifier
1124313796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4096
- Practice address
- 712 93Rd Ave N
Naples, FL 34108-2441 - Phone
- (239) 628-0915
- NPI assigned
- Jun 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4096 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 4096 | NC | |
| Rehabilitation Psychologist | 103TR0400X | 4096 | NC | |
| Health Service Psychologist | 103TH0100X | 4096 | NC |
Addresses
Primary practice location
712 93Rd Ave N
Naples, FL 34108-2441
Mailing address
712 93Rd Ave N
Naples, FL 34108-2441
Phone (239) 628-0915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4096 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1124313796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 93RD AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082441",
"telephone_number": "239-628-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 93RD AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082441",
"telephone_number": "239-628-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECAIRA",
"first_name": "LUCHY",
"middle_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-12",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "4096",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4096",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NC",
"license": "4096",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "4096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.