Eric John Lund, PSY.D, BCBA-D, AND A

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1871057 Issued in WI

Practice address

1575 Allouez Ave
Green Bay, WI 54311-5639

Phone

(920) 857-9041

Fax

(920) 857-3366

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Caravel Autism Health, LLC

  • Behavior Analyst
  • Green Bay, WI
  • NPI 1588993091
  NPD (past) Authorized official
• Integrated Developmental Services, Inc

  • Mental Health Counselor
  • Madison, WI
  • NPI 1528025954
  NPD (past)
• Caravel Counseling and Diagnostics SC

  • Clinical Psychologist
  • Woodbury, MN
  • NPI 1780258004
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1801954474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115639",
            "telephone_number": "920-857-9041",
            "fax_number": "920-857-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115639",
            "telephone_number": "920-857-9041",
            "fax_number": "920-857-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D, BCBA-D, AND A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1871057",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-08-4429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801954474",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley A Lukes, NP
• Andrew R Lulloff, D.D.S.
• Elizabeth A Lulloff, CRNA
• Rolf Smart Lulloff, MD
• Sarah Jane Lulloff, MD
• Maria Jean Lundin, LPC-IT
• Mara Lungay, CRNA
• Jo Ellen Lusardi, RPH
• Erin Luttschwager, MA, LPC, NCC
• Luxottica of America Inc

• Clinical Psychologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.