Active NPI
Lux Psychiatry, PLLC
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1851917710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Priscilla Hidalgo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Two Rivers, WI
- NPI 1447416672
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
- Andrew Gardner Lutz, MD
- Anna Metz Lutz, MPH, RD, LDN, CEDRD
- Jennifer L Lutz, LCSW
- Melanie Brooke Lutz
- Rodney S Lutz, M.D.
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- Bridget Luxenberg
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- Luxottica of America Inc. (Lenscrafters #255)
- Luxottica of America Inc. (LensCrafters #1326)
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.