MEDICARE: LUMI PSYCHIATRY & WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1134060643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMI PSYCHIATRY & WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	11 ABBY ELLEN LN
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-5043
Country	:	US
Telephone Number	:	781-254-8687
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 CONSTITUTION LN STE 300C4
Second Line	:
City	:	DANVERS
State	:	MA
Zip	:	01923-3658
Country	:	US
Telephone Number	:	781-254-8687
Fax Number	:

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

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/15/2026

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