Martie Ryan Lukanich Psy D PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARTIE RYAN LUKANICH PSY D PC

Practice address

9631 W 153Rd St Ste 37
Orland Park, IL 60462-3778

Phone

(708) 829-8277

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martie Ryan Lukanich, PSYDNPI 1497886196

Title

President

Phone

(708) 829-8277

Specialties & licenses 1

Addresses

Locations

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.

• Martie Ryan Lukanich, PSY.D.,LCPC

  • Professional Counselor
  • Orland Park, IL
  • NPI 1497886196
  Authorized official Same address or phone

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1508535618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BELL AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255903",
            "telephone_number": "708-829-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST STE 37",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623778",
            "telephone_number": "708-829-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIE RYAN LUKANICH PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "LUKANICH",
        "authorized_official_first_name": "MARTIE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-829-8277",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn A Marnell, FNP-C
• Silvio Marra, MD
• Robert K Marshall, PH.D.
• Robert Q Marshall, DDS
• Roseann Martarano, LCSW
• Amanda Martin, OTR/L
• Charles Franklin Martin I, MD, FACEP
• Helen Gartner Martin, M.M.
• Jasmine Martin
• Nya Martin, LCSW

• Community/Behavioral Health Agency in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.