Organization Active NPI

Lumina Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerville, MA
National Provider Identifier
1174328827
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUMINA PSYCHIATRY, PLLC
Practice address
240 Elm St FL 2
Somerville, MA 02144-2935
Phone
(857) 380-6833
Fax
(857) 344-0170
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Alicia Katherine Battles, PMHNPNPI 1083286710
Title
Co-Owner
Phone
(857) 380-6833

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

240 Elm St FL 2
Somerville, MA 02144-2935

Mailing address

240 Elm St FL 2
Somerville, MA 02144-2935
Phone (857) 380-6833

Other identifiers 2

IdentifierTypeStateIssuer
1083286710MedicaidMA
1134869779MedicaidMA

National Provider Directory

National Provider Directory

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": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1174328827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ELM ST FL 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "857-380-6833",
            "fax_number": "857-344-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ELM ST FL 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442935",
            "telephone_number": "857-380-6833",
            "fax_number": "857-344-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "857-380-6833",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083286710",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134869779",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.