Active NPI
Laura Allison Zurell, MS, 6TH YR
- School Psychologist
- Columbia, CT
National Provider Identifier
1063014629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1911622639
- Practice address
- 480 Route 87
Columbia, CT 06237-1410 - Phone
- (860) 377-1703
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 9, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1911622639 | CT | Primary |
Addresses
Primary practice location
480 Route 87
Columbia, CT 06237-1410
Mailing address
480 Route 87
Columbia, CT 06237-1410
Phone (860) 377-1703
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1911622639 | CT | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1063014629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 ROUTE 87",
"city": "COLUMBIA",
"state": "CT",
"postal_code": "062371410",
"telephone_number": "860-377-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ROUTE 87",
"city": "COLUMBIA",
"state": "CT",
"postal_code": "062371410",
"telephone_number": "860-377-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZURELL",
"first_name": "LAURA",
"middle_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "MS, 6TH YR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CT",
"license": "1911622639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.