NPIMap

Organization Active NPI

Lazaruk Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Canada Flintridge, CA
National Provider Identifier
1043971187
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAZARUK PSYCHOLOGICAL SERVICES, INC.
Practice address
975 Regent Park Dr
La Canada Flintridge, CA 91011-4158
Phone
(818) 495-5705
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Elanna Lazaruk, PSYDNPI 1558707869
Title
President
Phone
(818) 495-5705

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

975 Regent Park Dr
La Canada Flintridge, CA 91011-4158

Mailing address

975 Regent Park Dr
La Canada Flintridge, CA 91011-4158
Phone (818) 495-5705

Other names 2

  • Elanna Lazaruk, PsyD Doing business as
  • La Canada Psychology Doing business as

National Provider Directory

National Provider Directory

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1043971187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 REGENT PARK DR",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910114158",
            "telephone_number": "818-495-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 REGENT PARK DR",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910114158",
            "telephone_number": "818-495-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARUK PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "LAZARUK",
        "authorized_official_first_name": "ELANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-495-5705",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elanna Lazaruk, PsyD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Canada Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.