Active NPI
Lara Lucine Nalbandian, PSY.D.
- Clinical Psychologist
- Springfield, PA
National Provider Identifier
1063702058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016842
- Practice address
- 1489 Baltimore Pike
BLDG. 200, Ste. 250
Springfield, PA 19064-3958 - Phone
- (610) 544-2110
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PS016842 | PA | Primary |
Addresses
Primary practice location
1489 Baltimore Pike
BLDG. 200, Ste. 250
Springfield, PA 19064-3958
Mailing address
1930 Chestnut St
15B
Philadelphia, PA 19103-4522
Phone (215) 688-0782
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016842 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1063702058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 CHESTNUT ST",
"address_2": "15B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034522",
"telephone_number": "215-688-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 BALTIMORE PIKE",
"address_2": "BLDG. 200, STE. 250",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643958",
"telephone_number": "610-544-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALBANDIAN",
"first_name": "LARA",
"middle_name": "LUCINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.