Luminous Vitality Behavioral Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LUMINOUS VITALITY BEHAVIORAL HEALTH PLLC

Practice address

101 Federal St Ste 1900
Boston, MA 02110-1861

Phone

(617) 841-3620

Fax

(617) 334-5505

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Ronald Lee, MDNPI 1841443470

Title

Manager

Phone

(617) 841-3620

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.

• Ronald Tae Lee, M.D.

  • Psychiatry Physician
  • Boston, MA
  • NPI 1841443470
  NPD Authorized official

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1982273785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RANDALL RD UNIT 1046",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020937052",
            "telephone_number": "617-841-3620",
            "fax_number": "617-334-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FEDERAL ST STE 1900",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101861",
            "telephone_number": "617-841-3620",
            "fax_number": "617-334-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS VITALITY BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-841-3620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Lukoff, B.SC PHYSIOLOGY
• Gifford Lum, M.D.
• Genesis Lumahan
• Briana M Lumbert, PA-C
• Emily Luming
• Maria Alejandra Luna Cuadros, MD
• Ernesto Luna Melendez
• Jose A Luna I
• Kenneth Robert Luna, D.O.
• Laura Esther Luna

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.