Michael John Lucido, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012513 Issued in MI

Practice address

1 Macdonald Dr Ste B
Petoskey, MI 49770-4406

Phone

(231) 347-6701

NPI assigned

Mar 10, 2009

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Munson Healthcare Charlevoix HospitalGroup PAC ID 4284528035, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Munson Healthcare Charlevoix Hospital

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  • Family Medicine Physician
  • Boyne City, MI
  • NPI 1790867216
  Medicare reassignment NPD
• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1053474015
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  • Family Medicine Physician
  • Charlevoix, MI
  • NPI 1972367043
  NPD
• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1881060549
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Healthcare Charlevoix Hospital

  • Critical Access Hospital
  • Charlevoix, MI
  • NPI 1346260692
  Care Compare affiliation

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1760623433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 CRYSTAL SPRINGS RD",
            "city": "BELLAIRE",
            "state": "MI",
            "postal_code": "496159251",
            "telephone_number": "313-268-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MACDONALD DR STE B",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704406",
            "telephone_number": "231-347-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIDO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustav Jaliang Lo, M.D.
• John Lockard, MA, LPC, CAADC
• Phillip Albert Loesch, ATC, CSCS
• Jonathan Lonchar, BS, CADC DP
• Loyal W Jodar MD PC
• Johanna B. Lund, N.P.
• Claudia Ann Lutosky, PH.D.
• Nancy Lynn Lyons, M.S. CCC/SLP
• M. Elizabeth Swenor, DO, PC
• Shanna Macclaren, FNP-C

• Psychologist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.