IndividualActive
John Lucas, PH.D.
NPI 1639365992 · Psychologist · Santa Rosa, CA
Provider details
- NPI number
- 1639365992
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LEP867 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1144 Sonoma Ave
Suite 111
Santa Rosa, CA 95405-4812
Phone: (707) 576-0576
Fax: (707) 576-7559
Street-level locationGet directions
Mailing address
1144 Sonoma Ave
Santa Rosa, CA 95405-4812
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.