Lumina Mental Health LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

LUMINA MENTAL HEALTH LLC

Practice address

1301 W Park Ave Ste G
Ocean, NJ 07712-3190

Phone

(973) 424-7878

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yarilyn PolancoNPI 1174379085

Title

Owner

Phone

(973) 424-7878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yarilyn Polanco

  • Social Worker
  • Toms River, NJ
  • NPI 1174379085
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1962247825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W PARK AVE STE G",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123190",
            "telephone_number": "973-424-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W PARK AVE STE G",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123190",
            "telephone_number": "973-424-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "YARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-424-7878"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Julius Lipp, DO
• Liza Restifo LCSW LLC
• Amanda Harvey Lonergan, NP
• Cynthia A Longo, MPT
• Diane Ludwig, M.S., CCC-SLP
• Deborah A Lynch, LCSW
• Leah Kathryn Lyons, PT, DPT
• Fiona M Mackenzie, LSW
• Malini Madadi, RPH
• Madeline M. Badalaty, D.M.D., LLC

• Social Worker in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.