Active NPI
Deanna Lucke
- School Psychologist
- Warsaw, OH
National Provider Identifier
1861880155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3175630
- Practice address
- 26546 State Route 60
Warsaw, OH 43844-9608 - Phone
- (740) 824-3523
- Fax
- (740) 824-5241
- NPI assigned
- Jan 8, 2015
- Last updated
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH3175630 | OH | Primary |
Addresses
Primary practice location
26546 State Route 60
Warsaw, OH 43844-9608
Mailing address
26546 State Route 60
Warsaw, OH 43844-9608
Phone (740) 824-3523
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3175630 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1861880155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26546 STATE ROUTE 60",
"city": "WARSAW",
"state": "OH",
"postal_code": "438449608",
"telephone_number": "740-824-3523",
"fax_number": "740-824-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26546 STATE ROUTE 60",
"city": "WARSAW",
"state": "OH",
"postal_code": "438449608",
"telephone_number": "740-824-3523",
"fax_number": "740-824-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKE",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3175630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.