Individual provider Active NPI

Luci Dumas Espinoza, PHD

  • Clinical Psychologist
  • Montoursville, PA
National Provider Identifier
1902576804
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08209 Issued in OH
Practice address
1248 Good Shepherd Rd
Montoursville, PA 17754-8086
Phone
(210) 842-8247
NPI assigned
Sep 14, 2021
Reactivated
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08209 OH Primary

Addresses

Primary practice location

1248 Good Shepherd Rd
Montoursville, PA 17754-8086

Mailing address

1248 Good Shepherd Rd
Montoursville, PA 17754-8086
Phone (210) 842-8247

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

LicenseStateTypeSpecialty
P.08209OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1902576804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 GOOD SHEPHERD RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177548086",
            "telephone_number": "210-842-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 GOOD SHEPHERD RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177548086",
            "telephone_number": "210-842-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS ESPINOZA",
        "first_name": "LUCI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "deactivation_date": "2022-09-27",
        "reactivation_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.