Organization Active NPI

Lumin Health PG Maryland, P.C.

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1275485948
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LUMIN HEALTH PG MARYLAND, P.C.
Practice address
4825 Bethesda Ave FL 2
Bethesda, MD 20814-5245
Phone
(617) 863-8810
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Benjamin Yudkoff, MD, MANPI 1962727966
Title
Owner
Phone
(617) 863-8810

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4825 Bethesda Ave FL 2
Bethesda, MD 20814-5245

Mailing address

10 Langley Rd Ste 200
Newton, MA 02459-1972
Phone (617) 863-8810

National Provider Directory

National Provider Directory

Locations

4825 Bethesda Ave
Fl 2
Bethesda, MD 20814
Phone (617) 863-8810

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": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1275485948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LANGLEY RD STE 200",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591972",
            "telephone_number": "617-863-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE FL 2",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "617-863-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIN HEALTH PG MARYLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "YUDKOFF",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-863-8810",
        "authorized_official_credential": "MD, MA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.