Herman H Lucke, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY01499 Issued in MO

Practice address

7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3720

Phone

(816) 587-2626

Fax

(816) 587-2627

NPI assigned

Dec 6, 2006

Last updated

Jan 4, 2014By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388793600000",
    "number": "1760541684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER STE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533706",
            "telephone_number": "816-587-2626",
            "fax_number": "816-587-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "816-587-2626",
            "fax_number": "816-587-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKE",
        "first_name": "HERMAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MISSOURI",
            "identifier": "18054018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493269609",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "701737",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Luce
• Smile Junalilz Baluran Lucero, BCBA
• Karstan Luchini, DO
• Lucienne Lee PHD, LLC
• Lucke Shanklin & Associates Inc
• Matthew Edward Luckenbach
• Johann Anton Luckhoff, M.D.
• Connor Sigmund Luczak, PHARM.D.
• Eric Luder, DPT
• Donna Ludwig

• Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.