Ronald Lee Lutz, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2-4098 Issued in TX

Practice address

4103 S Texas Ave
Suite 203
Bryan, TX 77802-4040

Phone

(979) 361-7907

Fax

(979) 846-6557

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iris Y. Carrillo, PH.D.

  • Counseling Psychologist
  • Bryan, TX
  • NPI 1326462359
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508878182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 S TEXAS AVE",
            "address_2": "SUITE 203",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024040",
            "telephone_number": "979-361-7907",
            "fax_number": "979-846-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S TEXAS AVE",
            "address_2": "SUITE 203",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024040",
            "telephone_number": "979-361-7907",
            "fax_number": "979-846-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-4098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P10P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Leticia Lozoya, DNP, RN, NNP-BC
• Roy R Luepnitz, PH.D.
• Robyn Lee Luna, FNP
• Angela Jeanette Lundy-Piper, DC
• Wendy Treat Lusk, FNP-C
• Jennifer Lyles
• M & KH, LLC
• M&M Homecare LLC
• Mitchell Austin Machuca
• Elian Macias

• Counseling Psychologist in Bryan, TX
• Providers in Bryan, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.