Active NPI
Marianna M. Luck
- Psychologist
- West Chester, PA
National Provider Identifier
1922209279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-005833-L
- Practice address
- 710 S Brandywine St
West Chester, PA 19382-3511 - Phone
- (610) 692-3456
- NPI assigned
- May 31, 2007
- Last updated
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-005833-L | PA | Primary |
Addresses
Primary practice location
710 S Brandywine St
West Chester, PA 19382-3511
Mailing address
857 Chandlee Dr
West Chester, PA 19382-1979
Phone (610) 692-7088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0536119000 | Other | PA | MHS PROVIDER NO. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005833-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1922209279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 CHANDLEE DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193821979",
"telephone_number": "610-692-7088",
"fax_number": "610-692-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S BRANDYWINE ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193823511",
"telephone_number": "610-692-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCK",
"first_name": "MARIANNA",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-005833-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHS PROVIDER NO.",
"identifier": "0536119000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.