Lumate North Carolina

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LUMATE NORTH CAROLINA

Practice address

3600 N Duke St # 1191
Durham, NC 27704-1709

Phone

(210) 872-9611

NPI assigned

Feb 1, 2023

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Detweiler, PHDNPI 1396783569

Title

Ceo

Phone

(210) 872-9611

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Francis Detweiler, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Durham, NC
  • NPI 1396783569
  NPD (past) Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1861198889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N DUKE ST # 1191",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041709",
            "telephone_number": "210-872-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N DUKE ST # 1191",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041709",
            "telephone_number": "210-872-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMATE NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "DETWEILER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-872-9611",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Jane Lukasik, OTR/L
• Adam Luke, DPT
• Andrea S Lukes, M.D.
• Drew Henry Lukes, PT, DPT
• Karen Luley, PHD, PSYD
• Elizabeth Charlene Lumley, P-LCSW
• Laura Lumsden, NNP
• Rebecca Lumsden, MD
• Ekaterina Sergeyevna Lundberg, PA
• Steven Devere Lundeen, PHARMD

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.