Individual provider Active NPI

Laura E Lambert, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1053514364
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007179 Issued in IL
Practice address
122 S Michigan Ave Ste 1468
Chicago, IL 60603-6155
Phone
(773) 642-5006
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.007179 IL Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1468
Chicago, IL 60603-6155

Mailing address

5490 S South Shore Drive 4N
Chicago, IL 60615-5981
Phone (773) 667-1063

Other practice location 1

5490 S Shore Dr Apt 4N
Chicago, IL 60615-5981
Phone (773) 642-5006

Other identifiers 1

IdentifierTypeStateIssuer
0009677974OtherILAETNA

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
071.007179ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Forest Psychological Service Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1053514364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 S SOUTH SHORE DRIVE 4N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155981",
            "telephone_number": "773-667-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1468",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036155",
            "telephone_number": "773-642-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5490 S Shore Dr Apt 4N",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606155981",
            "country_code": "US",
            "telephone_number": "773-642-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009677974",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.