Luciana Macnamara, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018789 Issued in PA

Practice address

255 South 17TH Street
Suite 1106
Philadelphia, PA 19103

Phone

(610) 526-7360

NPI assigned

Mar 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bryn Mawr College Health Center

  • Student Health Clinic/Center
  • Bryn Mawr, PA
  • NPI 1629377056
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245818491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MERION AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH 17TH STREET",
            "address_2": "SUITE 1106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "610-526-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAMARA",
        "first_name": "LUCIANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Jean Macmillan, CRNP
• Robert Macmillan, MD
• Marylouise Macmullan, PT DPT
• Eileen R Macmurtrie, CRNP
• Kurt Thomas Macnair, PT, DPT
• Kenneth Macneal
• Alexander Stone Macnow, M.D.
• Marcie E Macolino, M.D.
• Barbara Louise Macon
• Mary K Macon, PA-C

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.