DR. CANDIDA JANE LUTES (PHD) – Clinical Neuropsychologist, NPI 1952309395

DR. CANDIDA JANE LUTES (PHD) is a healthcare provider. based in Dallas, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 21711 (TX). The NPI Number for DR. CANDIDA JANE LUTES (PHD) is 1952309395

Main info

Female
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDIDA JANE LUTES (PHD)
NPI
1952309395
Phone
(214) 522-0498
Address
3500 OAK LAWN AVE.
Enumeration Date
11 July 2005
Last Update Date
16 March 2011

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2145220498
Graduation Year
1976 (50 years ago)
PAC ID
0244399566
Professional Enrollment ID
I20081031000428
Address ID
TX752194461DA3500XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. CANDIDA JANE LUTES (PHD)

  • 3500, Oak Lawn Avenue, Oak Lawn, Dallas, TX, Dallas, Dallas County, Texas, 75219, United States

    SUITE 275

    DALLAS, TX 752194308

    Phone: (214) 522-0498

    Fax: (214) 522-0454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081031000428IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour51718$0
View full utilization report →

Insurance plans in this area (ZIP 75219)

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Reviews

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Frequently asked questions

What number should I use to identify DR. CANDIDA JANE LUTES (PHD) for billing?
Administrative and clinical systems typically use NPI 1952309395 for DR. CANDIDA JANE LUTES (PHD).
Is DR. CANDIDA JANE LUTES (PHD)'s NPI status active today?
Active status means DR. CANDIDA JANE LUTES (PHD)'s NPI record is not deactivated in the public file.
What type of care does DR. CANDIDA JANE LUTES (PHD) provide?
DR. CANDIDA JANE LUTES (PHD)'s profile centers on Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CANDIDA JANE LUTES (PHD)?
DR. CANDIDA JANE LUTES (PHD) shows a connection to Dallas, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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