Organization Active NPI

Dr. Eryn Lucas, Psy. D.

  • Clinical Psychologist
  • Orange, TX
National Provider Identifier
1346544822
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34297 Issued in TX
Legal business name
DR. ERYN LUCAS, PSY. D.
Practice address
805 Henderson Ave
Orange, TX 77630-6325
Phone
(409) 779-2451
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Eryn Lucas, PSY.D.NPI 1194959593
Title
President
Phone
(409) 779-2451

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 34297 TX Primary

Addresses

Primary practice location

805 Henderson Ave
Orange, TX 77630-6325

Mailing address

805 Henderson Ave
Orange, TX 77630-6325
Phone (409) 779-2451

National Provider Directory

National Provider Directory
Tax ID family
Dr Eryn Lucas Psy D2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1346544822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-779-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-779-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERYN LUCAS, PSY. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ERYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-779-2451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.