Brian M Lukach, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32601 Issued in CA

Practice address

17140 Bernardo Center Dr Ste 300
San Diego, CA 92128-2000

Phone

(858) 716-8100

Fax

(858) 716-8085

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridgepoint Health LLC

  • Mental Health Counselor
  • Sheboygan, WI
  • NPI 1760593727
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1962506154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 CAMINO SANTANDER APT 69",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306549",
            "telephone_number": "920-698-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17140 BERNARDO CENTER DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282000",
            "telephone_number": "858-716-8100",
            "fax_number": "858-716-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKACH",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1915057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lujan
• Maya Elizabeth Lujan
• Erica R Lujano
• Carmen L Luk, DPT
• Joan Y Luk, L.AC.
• Linda Ann Lukacs, DDS
• Dorothy Sarah Lukalaga, RN
• James Anthony Lukas III
• Mark Lukasik
• Meghan K Lukasik, PH.D.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.