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General NPI Number Information
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NPI Number | 1578417259
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Entity Type | Organization
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Legal Business Name | LUMINESS PSYCHIATRY LLC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1867 W 1700 S
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City | SYRACUSE
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State | UT
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Zip | 84075-9144
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Country | US
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Telephone | 801-856-1659
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Fax |
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Provider Business Mailing Address
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Address Line | 3166 S 1075 W
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City | SYRACUSE
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State | UT
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Zip | 84075-9097
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Country | US
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Telephone | 801-856-1659
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | BENJAMIN SAXEY
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Credential | PA-C
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Telephone | 801-971-1985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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