Lutz Child and Family Associates, P.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

156824 Issued in MA

Legal business name

LUTZ CHILD AND FAMILY ASSOCIATES, P.C.

Practice address

47 Prospect St
Suite One
West Boylston, MA 01583-1301

Phone

(774) 239-2013

NPI assigned

Sep 10, 2009

Organization subpart

Yes

Parent organization

LUTZ CHILD AND FAMILY ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Anne Bodmer Lutz, M.D.

Title

Child Psychiatrist

Phone

(774) 239-2013

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Lutz Child and Family Associates PC

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1578896437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PROSPECT ST",
            "address_2": "SUITE ONE",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831301",
            "telephone_number": "774-239-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PROSPECT ST",
            "address_2": "SUITE ONE",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831301",
            "telephone_number": "774-239-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTZ CHILD AND FAMILY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTZ CHILD AND FAMILY ASSOCIATES, P.C.",
        "enumeration_date": "2009-09-10",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "BODMER",
        "authorized_official_title_or_position": "CHILD PSYCHIATRIST",
        "authorized_official_telephone_number": "774-239-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "156824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356460505",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Llanos
• Patricia Ellen Lonergan, L.M.H.C.
• Lori a Heyler OD LLC
• Zoribett Lozada
• Lindsey Mae Luksha
• John Carl Lutz, PSY.D.
• Julie Ellen Lysiak, RN MS CS
• Kaitlin Mackay, BCBA
• Stephanie Malo
• Mama Doris Foundation Inc

• Child & Adolescent Psychiatry Physician in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.