Active NPI
Heather Lucas, LLP
- Clinical Psychologist
- Livonia, MI
National Provider Identifier
1396039392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014385
- Practice address
- 31500 Schoolcraft Rd
Suite 100
Livonia, MI 48150-1805 - Phone
- (734) 422-9340
- Fax
- (734) 422-9353
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014385 | MI | Primary |
Addresses
Primary practice location
31500 Schoolcraft Rd
Suite 100
Livonia, MI 48150-1805
Mailing address
12850 Fountain SQ
Suite 106
Davisburg, MI 48350-2552
Phone (248) 634-6303
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750910401 | Other | MI | BCMI |
| XX19153 | Other | MI | HEALTHPLUS |
| 750910401 | Other | MI | BC OOS |
| 750910401 | Other | MI | BCTR |
| 00260F7 | Other | MI | HEALTH ALLIANCE PLAN |
| 750910401 | Other | MI | BCBS FED |
| 750910401 | Other | MI | BC CHRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014385 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ismail B. Sendi, MD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New Oakland Child-Adolescent and Family Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Livonia, MI
- NPI 1508037557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1396039392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 FOUNTAIN SQ",
"address_2": "SUITE 106",
"city": "DAVISBURG",
"state": "MI",
"postal_code": "483502552",
"telephone_number": "248-634-6303",
"fax_number": "248-634-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 SCHOOLCRAFT RD",
"address_2": "SUITE 100",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501805",
"telephone_number": "734-422-9340",
"fax_number": "734-422-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "HEATHER",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMI",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "XX19153",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OOS",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCTR",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "00260F7",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FED",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC CHRY",
"identifier": "750910401",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.