Organization Active NPI

Lux Psychiatry, PLLC

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1851917710
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LUX PSYCHIATRY, PLLC
Practice address
8512 Six Forks Rd Ste 103
Raleigh, NC 27615-3256
Phone
(919) 646-1914
Fax
(352) 204-1963
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Dr. Priscilla Hidalgo, MDNPI 1447416672
Title
Organizer
Phone
(919) 646-1914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8512 Six Forks Rd Ste 103
Raleigh, NC 27615-3256

Mailing address

8512 Six Forks Rd Ste 103
Raleigh, NC 27615-3256
Phone (919) 646-1914

Other practice location 1

101 Colvard Street
Jefferson, NC 28640
Phone (919) 646-1914

National Provider Directory

National Provider Directory

Locations

8512 Six Forks Rd
Ste 103
Raleigh, NC 27615
Phone (919) 322-9529

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1851917710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153256",
            "telephone_number": "919-646-1914",
            "fax_number": "352-204-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153256",
            "telephone_number": "919-646-1914",
            "fax_number": "352-204-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Colvard Street",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "28640",
            "country_code": "US",
            "telephone_number": "919-646-1914",
            "fax_number": "352-204-1963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUX PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "919-646-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.