Delisa Ann Lusby, AAS CAAC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

625 N Orange St
2ND Floor
Wilmington, DE 19801-2296

Phone

(302) 656-4044

Fax

(302) 656-3439

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

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.

• Sodat-Delaware, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, DE
  • NPI 1689721847
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326166166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "QUINTON",
            "state": "NJ",
            "postal_code": "080720245",
            "telephone_number": "302-373-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N ORANGE ST",
            "address_2": "2ND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012296",
            "telephone_number": "302-656-4044",
            "fax_number": "302-656-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSBY",
        "first_name": "DELISA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "AAS CAAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103TP2701X",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lunavi, LLC
• Christine M Lundmark
• Paul Lundmark
• Lisa Ann Luneau-Nepon, RN
• Xiang Sharon Luo, MD
• Lutheran Senior Services
• Monica Anne Lutus
• Malgorzata S Lutwin-Kawalec, MD
• Meredith J. Lutz-Stehl, PHD
• Charles Joseph Lutz, MSW

• Group Psychotherapy Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Group Psychotherapy Psychologist in Delaware

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.