Luminis Health Medical Group, LLC
Organization Active NPI Cognitive & Behavioral Psychologist · Annapolis, MD
NPI 1912306705 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1912306705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- Legal business name
- LUMINIS HEALTH MEDICAL GROUP, LLC
- Practice address
- 175 Harry S Truman Pkwy
Annapolis, MD 21401-7573 - Phone
- (410) 573-9000
- Fax
- (410) 573-9001
- NPI assigned
- Aug 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Melissa Rapattoni
- Title
- Ao
- Phone
- (443) 481-5136
Corporate family (same tax ID) 24
Practitioners 8
-
Andrew D Berlin, MD
-
Stephanie Katherine Dadds, FNP-BC
-
Madiha Laiq, M.D.
-
Beth Christen Palmer, CRNP
-
Cecile Marie Robinson, PAC MPH
-
Emily Snellings, LCSW-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050317000146 | MD | Part B Supplier - Clinic/Group Practice | 2860447315 |
Receives reassigned benefits from 897 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Anne Arundel Phys Group LLC
Locations
1997 Annapolis Exchange Pkwy
Ste 500
Annapolis, MD 21401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist |
103TB0200X | Yes |
Addresses
Primary practice location
175 Harry S Truman Pkwy
Annapolis, MD 21401-7573
Mailing address
1997 Annapolis Exchange Pkwy Ste 500
Annapolis, MD 21401-3275
Other names
- Mental Health Specialist at Pathways
Other providers in Annapolis, MD
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
All providers in Annapolis, MD · Cognitive & Behavioral Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.