Active NPI
Gregory Lucas, PH.D.
- Psychologist
- Orlando, FL
National Provider Identifier
1306908983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY7110
- Practice address
- 3203 Lawton Rd
Suite 150
Orlando, FL 32803-2951 - Phone
- (407) 963-1542
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY7110 | FL | Primary |
Addresses
Primary practice location
3203 Lawton Rd
Suite 150
Orlando, FL 32803-2951
Mailing address
3203 Lawton Rd
Suite 150
Orlando, FL 32803-2951
Phone (407) 963-1542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2026 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7110 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306908983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 LAWTON RD",
"address_2": "SUITE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328032951",
"telephone_number": "407-963-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 LAWTON RD",
"address_2": "SUITE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328032951",
"telephone_number": "407-963-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY7110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.