Individual provider · Type 1 NPI

Miriam Lundy, PMHNP

Prescribing (Medical) Psychologist · Oakland, CA

NPI number 1114231065 Active

Practice location

3031 Telegraph Ave
Oakland, CA 94609-3205

Mailing address

18 Cowper Ave
Kensington, CA 94707-1006

Other practice locations

  • 301 Broadway, Chelsea, MA 02150-2807 · (617) 912-7912

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95001154 (CA)
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1114231065

Miriam Lundy, PMHNP's National Provider Identifier is 1114231065, issued on Aug 3, 2010. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Oakland, CA. The record was last updated on Jun 30, 2021.