Organization Active NPI

Carmen L. Lucia PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1164036935
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CARMEN L. LUCIA PSYD LLC
Practice address
5010 E Warner Rd Ste 110
Phoenix, AZ 85044-3354
Phone
(480) 980-7355
Fax
(480) 546-3617
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Dr. Carmen Lynne Lucia, PSYDNPI 1841599941
Title
Owner
Phone
(480) 980-7355

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5010 E Warner Rd Ste 110
Phoenix, AZ 85044-3354

Mailing address

5010 E Warner Rd Ste 110
Phoenix, AZ 85044-3354
Phone (480) 980-7355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211002460 AZ Part B Supplier - Clinic/Group Practice 5698187805 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

15215 S 48th St
Ste 154
Phoenix, AZ 85044
Phone (480) 705-9009

5010 E Warner Rd
Ste 110
Phoenix, AZ 85044
Phone (480) 773-6599

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": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1164036935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443354",
            "telephone_number": "480-980-7355",
            "fax_number": "480-546-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443354",
            "telephone_number": "480-980-7355",
            "fax_number": "480-546-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN L. LUCIA PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "LUCIA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-980-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.