Sunny Ellen Lusk, MA, LPA INDEPENDENT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36448 Issued in TX

Practice address

9200 Pinecroft Dr Ste 250
Shenandoah, TX 77380-3286

Phone

(281) 419-8400

Fax

(281) 292-1972

NPI assigned

Feb 17, 2019

Last updated

Feb 17, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1356807176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 GLEN HAVEN DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773857712",
            "telephone_number": "281-210-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803286",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "SUNNY",
        "middle_name": "ELLEN",
        "credential": "MA, LPA INDEPENDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Holness Lucas, MD
• Lucent Smiles Dentistry
• Rafael A Lugo, MD
• Devin Lukachik, M.S. CCC-SLP
• Sophie Lung
• Luz Maria Rojas, D.D.S., P.L.L.C. (Enchanted Forest Pediatric Dentistry)
• Heidi Lyn Stern, M.D.
• Mackenzie Lyons
• Madhavi Machineni, M.D
• Karen Lee Mackenney, RN, FNP

• Clinical Psychologist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.