Organization Active NPI

Mariella Lauriola Psychologist Inc

  • Clinical Psychologist
  • Cupertino, CA
National Provider Identifier
1043919723
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARIELLA LAURIOLA PSYCHOLOGIST INC
Practice address
21710 Stevens Creek Blvd Ste 240
Cupertino, CA 95014-1174
Phone
(650) 753-9663
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Dr. Mariella Lauriola, PHDNPI 1912409293
Title
Licensed Clinical Psychologist
Phone
(650) 753-9663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

21710 Stevens Creek Blvd Ste 240
Cupertino, CA 95014-1174

Mailing address

21710 Stevens Creek Blvd Ste 240
Cupertino, CA 95014-1174
Phone (650) 753-9663

Other names 2

  • Mariella Lauriola Psychologist Inc Doing business as
  • Trauma Healing Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

21710 Stevens Creek Blvd
Ste 240
Cupertino, CA 95014
Phone (408) 475-6228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1043919723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 240",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141174",
            "telephone_number": "650-753-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 240",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141174",
            "telephone_number": "650-753-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIELLA LAURIOLA PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "LAURIOLA",
        "authorized_official_first_name": "MARIELLA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "650-753-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariella Lauriola Psychologist Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trauma Healing Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.