Organization Active NPI

Lumina Pediatric Services

  • Behavior Analyst
  • Dearborn, MI
National Provider Identifier
1912844275
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LUMINA PEDIATRIC SERVICES
Practice address
17 Carlton LN
Dearborn, MI 48120-1017
Phone
(313) 549-4315
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Nasser Hadi
Title
Owner
Phone
(313) 549-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

17 Carlton LN
Dearborn, MI 48120-1017

Mailing address

17 Carlton LN
Dearborn, MI 48120-1017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1912844275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARLTON LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CARLTON LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201017",
            "telephone_number": "313-549-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-549-4315"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.