MARTIE RYAN LUKANICH PSY D PC
NPI 1508535618
Community/Behavioral Health in Orland Park, IL

Active since September 10, 2021
9631 W 153RD ST STE 37, ORLAND PARK, IL 60462(708) 829-8277 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martie Ryan Lukanich Psy D Pc NPPES

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

MARTIE RYAN LUKANICH PSY D PC (NPI 1508535618) is a healthcare organization registered as a community/behavioral health in Orland Park, Illinois and active in the NPI registry since September 2021. The organization lists Martie Ryan Lukanich, President, as its authorized official.

NPPES Registry Identity

NPI1508535618
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARTIE RYAN LUKANICH PSY D PC
Location Address9631 W 153RD ST STE 37Orland Park, IL 60462-3778
Mailing Address521 Bell AveLa Grange, IL 60525-5903 · (708) 829-8277
Organization SubpartNo
Authorized OfficialMartie Ryan LukanichPresident · (708) 829-8277
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
NPI 1508535618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9631 W 153RD ST STE 37, Orland Park, IL 60462

Other Identifiers 2

Other1740403476Npi
Other1497886196Npi

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
9631 W 153RD ST STE 37
ORLAND PARK, IL 60462
Counselor (Professional)
9631 W 153RD ST STE 37
ORLAND PARK, IL 60462

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 Martie Ryan Lukanich Psy D PC's NPI number?

The NPI number for Martie Ryan Lukanich Psy D PC is 1508535618. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Martie Ryan Lukanich Psy D PC located?

Martie Ryan Lukanich Psy D PC is located at 9631 W 153rd St Ste 37, Orland Park, IL 60462. The listed phone number is (708) 829-8277.

What is Martie Ryan Lukanich Psy D PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Martie Ryan Lukanich Psy D PC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.