Individual provider Active NPI

Lauren Tracey Seay Dashjian, PH.D

  • Counseling Psychologist
  • Benicia, CA
National Provider Identifier
1033569173
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY28041 Issued in CA
Practice address
701 Southampton Rd Ste 209F
Benicia, CA 94510-2055
Phone
(707) 816-0963
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY28041 CA Primary
Clinical Psychologist 103TC0700X PSY28041 CA

Addresses

Primary practice location

701 Southampton Rd Ste 209F
Benicia, CA 94510-2055

Mailing address

701 Southampton Rd Ste 209F
Benicia, CA 94510-2055
Phone (707) 816-0963

Other practice location 1

4929 Wilshire Blvd
Suite 510
Los Angeles, CA 90010-3808
Phone (562) 904-3999 ext. 386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28041CAMDClinical Psychologist
28041CAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1033569173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTHAMPTON RD STE 209F",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102055",
            "telephone_number": "707-816-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SOUTHAMPTON RD STE 209F",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102055",
            "telephone_number": "707-816-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 Wilshire Blvd",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103808",
            "country_code": "US",
            "telephone_number": "562-904-3999 x386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAY DASHJIAN",
        "first_name": "LAUREN",
        "middle_name": "TRACEY",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY28041",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.