Healthcare Provider Details

I. General information

NPI: 1134060643
Provider Name (Legal Business Name): LUMI PSYCHIATRY & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 CONSTITUTION LN STE 300C4
DANVERS MA
01923-3658
US

IV. Provider business mailing address

11 ABBY ELLEN LN
PEABODY MA
01960-5043
US

V. Phone/Fax

Practice location:
  • Phone: 781-254-8687
  • Fax:
Mailing address:
  • Phone: 781-254-8687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY RITA MCDONALD
Title or Position: NURSE PRACTITIONER/OWNER
Credential: MSN, PMHNP-BC, AGNP
Phone: 781-254-8687