MEDICARE: LUMINA PSYCHOLOGY & EDUCATION SERVICES, 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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1598616575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINA PSYCHOLOGY & EDUCATION SERVICES, PLLC

Provider Business Mailing Address
First Line	:	4429 N BERNARD ST UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4429 N BERNARD ST UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5411
Country	:	US
Telephone Number	:	951-552-3461
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	DR. JESUS RAMOS
Credential	:	PHD
Telephone Number	:	951-552-3461

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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