Organization Active NPI

Lumi Psychiatry & Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1134060643
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUMI PSYCHIATRY & WELLNESS, PLLC
Practice address
85 Constitution LN Ste 300C4
Danvers, MA 01923-3658
Phone
(781) 254-8687
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Courtney Rita McDonald, MSN, PMHNP-BC, AGNPNPI 1386134807
Title
Nurse Practitioner/Owner
Phone
(781) 254-8687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

85 Constitution LN Ste 300C4
Danvers, MA 01923-3658

Mailing address

11 Abby Ellen LN
Peabody, MA 01960-5043
Phone (781) 254-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260518002101 MA Part B Supplier - Clinic/Group Practice 3870062003 Receives reassigned benefits from 1 practitioner
Practice locations: Danvers, MA

National Provider Directory

National Provider Directory

Locations

85 Constitution Ln
Ste 300C4
Danvers, MA 01923
Phone (781) 254-8687

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1134060643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ABBY ELLEN LN",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605043",
            "telephone_number": "781-254-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN STE 300C4",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233658",
            "telephone_number": "781-254-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMI PSYCHIATRY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "781-254-8687",
        "authorized_official_credential": "MSN, PMHNP-BC, AGNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.