Active NPI
Michele Lucero, PSY.D.
- Psychologist
- Baldwin, NY
National Provider Identifier
1962492868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015800-1
- Practice address
- 2277 Grand Ave
Baldwin, NY 11510-3148 - Phone
- (516) 546-6924
- Fax
- (516) 546-1028
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 015800-1 | NY | Primary |
Addresses
Primary practice location
2277 Grand Ave
Baldwin, NY 11510-3148
Mailing address
PO Box 176
Franklin Square, NY 11010-0176
Phone (516) 510-6285
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 |
|---|---|---|---|
| 015800-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962492868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 176",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110100176",
"telephone_number": "516-510-6285",
"fax_number": "516-546-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103148",
"telephone_number": "516-546-6924",
"fax_number": "516-546-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015800-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.