Eryn M Lucas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34297 Issued in TX

Practice address

807 Henderson Ave
Orange, TX 77630-6325

Phone

(409) 779-2451

NPI assigned

May 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family & Psychological Center

  • Psychologist
  • Orange, TX
  • NPI 1386195121
  Medicare reassignment NPD Authorized official
• Dr. Eryn Lucas, Psy. D.

  • Clinical Psychologist
  • Orange, TX
  • NPI 1346544822

  Clinical

  NPD (past) Authorized official
• Beaumont Psychological Services PC

  • Clinical Psychologist
  • Beaumont, TX
  • NPI 1003833195

  Psychologist

  NPD (past)

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1194959593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-779-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-779-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ERYN",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34297",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Cypress-Maruiceville Isd
• Lou Randall Locke, FNP
• Fernando Lozano, LCDC
• LSMR, PLLC
• Lsmrbt, PLLC
• Julie Lucas
• Kimberly Luster
• Manuel Hababag, MD, PA
• Jessica Romero Manuel, FNP-C, PMHNP-BC
• Tonya Manuel

• All providers in Orange, TX
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.