Active NPIIndividual providerSole proprietor

Miriam Lundy, PMHNP

Psychologist, Prescribing (Medical) in Oakland, California

NPI Number1114231065
Practice location
3031 Telegraph Ave, Oakland, CA 94609-3205
Fax
—
Last updated
June 30, 2021

Miriam Lundy is a Psychologist, Prescribing (Medical) based in Oakland, CA. Miriam Lundy practices in Oakland, CA and has the professional credentials of PMHNP. The NPI Number for Miriam Lundy is 1114231065 and holds a License No. 95001154 (CA). The current practice location address for Miriam Lundy is 3031 Telegraph Ave, Oakland, CA 94609-3205 and can be reached out via phone at 510-596-8130.

Provider Profile Details

NPI Number
1114231065
Provider Name
Miriam Lundy
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3031 Telegraph Ave, Oakland, CA 94609-3205
Phone Number
510-596-8130
Primary Taxonomy
Psychologist, Prescribing (Medical) · 103TP0016X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2010
Last Update Date
June 30, 2021
Certification Date
June 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3031 Telegraph Ave
Oakland, CA 94609-3205
Zip
94609-3205
Phone Number
510-596-8130
Oakland, CA 94609Get directions →

Provider Business Mailing Address Details

Address
18 Cowper Ave
Kensington, CA 94707-1006
City
Kensington
State
CA
Zip
94707-1006
Phone Number
510-316-8344

License Information

License Number (1)
95001154
License State (1)
CA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Taxonomy (2)
Psychologist, Prescribing (Medical) · 103TP0016X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miriam Lundy, PMHNP?

The NPI number of Miriam Lundy, PMHNP is 1114231065. It was assigned on August 3, 2010 and is currently active in the NPPES registry.

What is the specialty of Miriam Lundy, PMHNP?

Miriam Lundy, PMHNP is registered under the primary taxonomy Psychologist, Prescribing (Medical) (code 103TP0016X), licensed in CA under license number 95001154.

Where does Miriam Lundy, PMHNP practice?

The practice location is 3031 Telegraph Ave, Oakland, CA 94609-3205. The office can be reached at 510-596-8130 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114231065 directly on the NPPES registry website.

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