Active NPI
Kirk Mitchell Lunnen, PHD.
- Psychologist
- New Castle, PA
National Provider Identifier
1669429254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS015405
- Practice address
- 2703 W State St
New Castle, PA 16101-8671 - Phone
- (724) 657-3303
- Fax
- (724) 657-3326
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS015405 | PA | |
| Clinical Psychologist | 103TC0700X | PS015405 | PA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS015405 | PA | |
| Family Psychologist | 103TF0000X | PS015405 | PA | |
| Forensic Psychologist | 103TF0200X | PS015405 | PA | |
| Health Service Psychologist | 103TH0100X | PS045405 | PA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS015405 | PA | |
| Psychologist | 103T00000X | PS015405 | PA | Primary |
Addresses
Primary practice location
2703 W State St
New Castle, PA 16101-8671
Mailing address
2703 W State St
New Castle, PA 16101-8671
Phone (724) 657-3303
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196568000 | Other | PA | CBHNP |
| 2367357 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| 251830792 | Other | PA | MH NET |
| 251830792 | Other | CORP HEALTH/HUMANA | |
| 1669429254 | Other | PA | RAILROAD MEDICARE/PALMETTO GBA |
| 2642423 | Other | PA | UNITED HEALTHCARE |
| 251830792 | Other | BWC-OHIO BETTER WORKER'S | |
| 491628 | Other | PA | VALUE OPTIONS |
| 001502976 | Other | PA | KEYSTONE HEALTH PLAN WEST |
| 001965800002 | Medicaid | PA | |
| 251830792 | Other | PA | INTERGROUP SERVICES CORPORATION |
| 000000207502 | Other | PA | UNISON HEALTH PLAN |
| 12732688 | Other | MULTIPLAN | |
| 796967000 | Other | PA | MAGELLAN BEHAVIORALHEALTH |
| 9064112 | Other | PA | AETNA BEHAVIORAL HEALTH |
| LU1502976 | Other | PA | PREMIERBLUE SHIELD NUMBER |
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 |
|---|---|---|---|
| PS045405 | PA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People in Need-Lawrence County | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New Castle, PA
- NPI 1558341867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1669429254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 W STATE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161018671",
"telephone_number": "724-657-3303",
"fax_number": "724-657-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 W STATE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161018671",
"telephone_number": "724-657-3303",
"fax_number": "724-657-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNNEN",
"first_name": "KIRK",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PA",
"license": "PS045405",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PA",
"license": "PS015405",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS015405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHNP",
"identifier": "196568000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2367357",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MH NET",
"identifier": "251830792",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP HEALTH/HUMANA",
"identifier": "251830792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE/PALMETTO GBA",
"identifier": "1669429254",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2642423",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC-OHIO BETTER WORKER'S",
"identifier": "251830792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "491628",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN WEST",
"identifier": "001502976",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001965800002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERGROUP SERVICES CORPORATION",
"identifier": "251830792",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "000000207502",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12732688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORALHEALTH",
"identifier": "796967000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "9064112",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIERBLUE SHIELD NUMBER",
"identifier": "LU1502976",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.