Active NPI
Horace C Lukens, PHD
- Clinical Psychologist
- Ridgeland, MS
National Provider Identifier
1811965684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 46 803
- Practice address
- 357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844 - Phone
- (601) 832-7738
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 417 | OK | |
| Clinical Psychologist | 103TC0700X | 46 803 | MS | Primary |
Addresses
Primary practice location
357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844
Mailing address
113 Sunflower Rd
Madison, MS 39110-7878
Phone (601) 832-7738
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417 | OK | MD | Psychologist |
| 46 803 | MS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1811965684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SUNFLOWER RD",
"city": "MADISON",
"state": "MS",
"postal_code": "391107878",
"telephone_number": "601-832-7738",
"fax_number": "601-790-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 TOWNE CENTER PL STE 402",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574844",
"telephone_number": "601-832-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKENS",
"first_name": "HORACE",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "417",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "46 803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.