Active NPI
Laura F Luevano, PHD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1467690941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003121
- Practice address
- 9702 Gayton Rd # 181
Richmond, VA 23238-4907 - Phone
- (804) 741-7500
- Fax
- (804) 741-7900
- NPI assigned
- Jan 22, 2009
- 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 | 0810003121 | VA | Primary |
Addresses
Primary practice location
9702 Gayton Rd # 181
Richmond, VA 23238-4907
Mailing address
9702 Gayton Rd # 181
Richmond, VA 23238-4907
Phone (804) 741-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810003121 | Other | VA | VA STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003121 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1467690941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9702 GAYTON RD # 181",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384907",
"telephone_number": "804-741-7500",
"fax_number": "804-741-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9702 GAYTON RD # 181",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384907",
"telephone_number": "804-741-7500",
"fax_number": "804-741-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEVANO",
"first_name": "LAURA",
"middle_name": "F",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA STATE LICENSE",
"identifier": "0810003121",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.