Lucas Adam Klein, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003257 Issued in CT

Practice address

731 S Highway 101
Suite 1-E
Solana Beach, CA 92075-2629

Phone

(619) 244-0336

NPI assigned

Jul 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1922263276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S HIGHWAY 101",
            "address_2": "SUITE 1-E",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752629",
            "telephone_number": "619-244-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S HIGHWAY 101",
            "address_2": "SUITE 1-E",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752629",
            "telephone_number": "619-244-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LUCAS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003257",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019804",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1154767515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min J Kim, FNTP
• Sehgon Abe Kim, L.AC.
• Audra Clare Kimble
• Rachel Reed Kiner, LMFT
• Patricia Ann Kissel, DMD
• Patricia Gail Kodysh, NP
• Jontue Leilani Koff, OTR/L
• Jamie Kohanyi, LMFT
• Amanda Lee Kriebel, MPT
• Lauren Katrina Kurz, PMHNP, RN

• Clinical Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.