Individual provider Active NPI

Desiree Quynh Anh Luong, M.S., M.ED

  • Developmental Therapist
  • Santa Cruz, CA
National Provider Identifier
1992072755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
344 Fairmount Ave
Santa Cruz, CA 95062-1120
Phone
(831) 316-4699
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

344 Fairmount Ave
Santa Cruz, CA 95062-1120

Mailing address

344 Fairmount Ave.
Santa Cruz, CA 95062
Phone (831) 316-4699

Other practice location 1

2851 Park Avenue
Santa Clara, CA 95050
Phone (408) 243-7861 ext. 248

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)
Not enrolled
Credentials
Master of Education, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Honu Intervention, Inc. Behavior Analyst CurrentSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992072755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 FAIRMOUNT AVE.",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-316-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FAIRMOUNT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621120",
            "telephone_number": "831-316-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 Park Avenue",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "95050",
            "country_code": "US",
            "telephone_number": "408-243-7861 x248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "DESIREE",
        "middle_name": "QUYNH ANH",
        "name_prefix": "Miss",
        "credential": "M.S., M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.