Active NPI
Rebecca Block Lapidus, PH.D.
- Clinical Psychologist
- Peachtree City, GA
National Provider Identifier
1043369226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002881
- Practice address
- 111 Petrol PT
Suite D
Peachtree City, GA 30269-1550 - Phone
- (404) 372-0024
- NPI assigned
- Jan 9, 2007
- Last updated
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002881 | GA | Primary |
Addresses
Primary practice location
111 Petrol PT
Suite D
Peachtree City, GA 30269-1550
Mailing address
111 Petrol PT
Suite D
Peachtree City, GA 30269-1550
Phone (404) 372-0024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002881 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1043369226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PETROL PT",
"address_2": "SUITE D",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691550",
"telephone_number": "404-372-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PETROL PT",
"address_2": "SUITE D",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691550",
"telephone_number": "404-372-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPIDUS",
"first_name": "REBECCA",
"middle_name": "BLOCK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
- Stephanie Marie Landrum, M.ED., LPC, NCC
- Betty Susan Lane, PHD, MSN, BSN, FNP
- Teresa Kay Lane, RN, MSN, CPNP
- Timothy Stanley Lane, M.DIV. AND D.MIN.
- William David Lane, PH.D.
- Jacob Alexander Larison, FNP-C
- Robin Elizabeth Lasseter, NCC, LAPC
- Mike Latella, CADC-II
- Losheilah Lawrence, PT
- Ann Saracini Layman, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.