Lunar Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LUNAR PSYCHIATRY

Practice address

3409 South Blvd
Columbus, OH 43204-1213

Phone

(614) 806-5157

NPI assigned

Aug 16, 2023

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suban A Warsame, CNP

Title

Owner

Phone

(614) 806-5157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1275316994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 SOUTH BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041213",
            "telephone_number": "614-806-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SOUTH BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041213",
            "telephone_number": "614-806-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNAR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "SUBAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-806-5157",
        "authorized_official_credential": "CNP"
    },
    "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": []
}

• Luna Bloom Psychiatry LLC
• Branden Walter Luna, D.O.
• Jarrett Luna
• Jenny R Luna, CNP
• Justin N Luna, APRN-CNP
• Jordan Lundberg
• Kate Lene Lundborg, CCC-SLP
• Colin James Lundeen, MD
• Keiko L. Lundenga
• Jessica Lundgren

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.