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LUMOS ADVANCED TREATMENT CENTER LLC
NPI 1174384846
Psychiatry & Neurology - Psychiatry in San Jose, CA

Active since January 19, 2024
2516 SAMARITAN DR STE D, SAN JOSE, CA 95124(408) 539-7715(408) 402-5116 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lumos Advanced Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMOS ADVANCED TREATMENT CENTER LLC (NPI 1174384846) is a healthcare organization registered as a psychiatry in San Jose, California and active in the NPI registry since January 2024. The organization lists Vidwath Kashyap, Business Director, as its authorized official.

NPPES Registry Identity

NPI1174384846
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLUMOS ADVANCED TREATMENT CENTER LLC
Location Address2516 SAMARITAN DR STE DSan Jose, CA 95124-4108
Mailing Address2516 Samaritan Dr Ste DSan Jose, CA 95124-4108 · (415) 741-6103 · Fax (408) 402-5116
Phone(408) 539-7715
Fax(408) 402-5116
Organization SubpartNo
Authorized OfficialVidwath KashyapBusiness Director · (415) 741-6103
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1174384846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2516 SAMARITAN DR STE D, San Jose, CA 95124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDA L BANNER PHD
Counselor (Professional)
2516 SAMARITAN DR STE D
SAN JOSE, CA 95124
Santa Clara County (408) 358-7401
LUMOS ADVANCED TREATMENT CENTER PC
Psychiatry & Neurology (Psychiatry)
2516 SAMARITAN DR STE D
SAN JOSE, CA 95124
Santa Clara County (669) 271-8717
TAMETRA LYNNETTE JOHNSON LCSW
Social Worker (Clinical)
2516 SAMARITAN DR STE D
SAN JOSE, CA 95124
Santa Clara County (408) 471-4261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lumos Advanced Treatment Center LLC's NPI number?

The NPI number for Lumos Advanced Treatment Center LLC is 1174384846. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Lumos Advanced Treatment Center LLC located?

Lumos Advanced Treatment Center LLC is located at 2516 Samaritan Dr Ste D, San Jose, CA 95124. The listed phone number is (408) 539-7715.

What is Lumos Advanced Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Lumos Advanced Treatment Center LLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.