1. Home
  2. Directory
  3. Michigan
  4. Lincoln Park
  5. Nurse Practitioner
  6. NPI Profile

LUNA PSYCH
NPI 1538979844
Nurse Practitioner - Psychiatric/Mental Health in Lincoln Park, MI

Active since January 09, 2025
1630 FORT ST, LINCOLN PARK, MI 48146(313) 217-1298 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luna Psych NPPES

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

LUNA PSYCH (NPI 1538979844), doing business as Jennifer Berry, is a healthcare organization registered as a psychiatric/mental health in Lincoln Park, Michigan and active in the NPI registry since January 2025. The organization lists Jennifer Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1538979844
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLUNA PSYCH
Location Address1630 FORT STLincoln Park, MI 48146-1902
Mailing Address445 Kingsbury AveDearborn, MI 48128-1581 · (313) 217-1298
Phone(313) 217-1298
Organization SubpartNo
Authorized OfficialJennifer BerryOwner · (313) 217-1298
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1538979844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1630 FORT ST, Lincoln Park, MI 48146
Open in Google Maps ↗

Other Names 1

Doing Business AsJennifer Berry

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

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 Luna Psych's NPI number?

The NPI number for Luna Psych is 1538979844. It was assigned to this organization in the NPPES registry on January 9, 2025. The provider is doing business as Jennifer Berry.

Where is Luna Psych located?

Luna Psych is located at 1630 Fort St, Lincoln Park, MI 48146. The listed phone number is (313) 217-1298.

What is Luna Psych's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Luna Psych was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.