Active NPI
Laura E Lambert, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1053514364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007179
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009677974 | Other | IL | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007179 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Countryside, IL
- NPI 1265487060
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.