Organization Active NPI

Family & Psychological Center

  • Psychologist
  • Orange, TX
National Provider Identifier
1386195121
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34297 Issued in TX
Legal business name
FAMILY & PSYCHOLOGICAL CENTER
Practice address
807 Henderson Ave
Orange, TX 77630-6325
Phone
(409) 883-2273
Fax
(409) 883-2274
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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) 883-2273

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
Psychologist 103T00000X 34297 TX Primary

Addresses

Primary practice location

807 Henderson Ave
Orange, TX 77630-6325

Mailing address

807 Henderson Ave
Orange, TX 77630-6325
Phone (409) 883-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523000637 TX Part B Supplier - Clinic/Group Practice 0345769246 Receives reassigned benefits from 3 practitioners
Practice locations: Orange, TX

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 3

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1386195121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-883-2273",
            "fax_number": "409-883-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-883-2273",
            "fax_number": "409-883-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ERYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-883-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.