Ellen Lucas PH.D. P.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20040571A Issued in IN

Legal business name

ELLEN LUCAS PH.D. P.C.

Practice address

4900 N Wheeling Ave
Suite 1
Muncie, IN 47304-7000

Phone

(765) 254-9343

Fax

(765) 254-9359

NPI assigned

Dec 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ellen B Lucas, PHD.NPI 1326076084

Title

Psychologist

Phone

(765) 254-9343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, SC2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Barbara Lucas, PH.D.

  • Counseling Psychologist
  • Muncie, IN
  • NPI 1326076084

  SC

  Medicare reassignment NPD Authorized official
• Christine Marie Henry, PH.D

  • Counseling Psychologist
  • Pearland, TX
  • NPI 1699003749
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1740526334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N WHEELING AVE",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473047000",
            "telephone_number": "765-254-9343",
            "fax_number": "765-254-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N WHEELING AVE",
            "address_2": "SUITE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473047000",
            "telephone_number": "765-254-9343",
            "fax_number": "765-254-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN LUCAS PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "765-254-9343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20040571A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leanne Eleniste, PHARMD
• Milissa A Eley, MD
• Anne J Eliades, M.D.
• John Eliades, MD
• Elite Healthcare of Muncie Inc.
• Dekayla Elliott
• Sharra Elliott
• Allissa Mae Ellis
• Dick Tracy Ellison, DDS
• Susan D Ellison

• Counseling Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.