Individual provider Active NPI

Lawrence W. Lazarus, M.D.

  • Psychiatry Physician
  • Santa Fe, NM
National Provider Identifier
1083685531
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2001-62 Issued in NM
Practice address
1925 Aspen Dr Ste 901B
Santa Fe, NM 87505-5569
Phone
(505) 820-2302
Fax
(505) 982-4777
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2001-62 NM Primary

Addresses

Primary practice location

1925 Aspen Dr Ste 901B
Santa Fe, NM 87505-5569

Mailing address

PO Box 1968
Santa Fe, NM 87504-1968
Phone (505) 820-2302

Other identifiers 2

IdentifierTypeStateIssuer
A8506MedicaidNM
NM00JJ88OtherNMBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070529000542 NM Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7416054358 Practice locations: Santa Fe, NM
I20201006002780 CA Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Geriatric Psychiatry 7416054358 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2826 Plaza Verde
Santa Fe, NM 87507-6512
Phone (505) 820-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-62NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Sep 1, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Sep 1, 2020 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Thomas McCaffrey PSYD LLC CurrentSince Oct 13, 2024 Accepting new patients
Counseling Within LLC PastSince Jun 15, 2012 Accepting new patients

Locations

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

57407 29 Palms Hwy
Ste F
Yucca Valley, CA 92284
Phone (760) 366-1541

1925 Aspen Dr
Ste 901B
Santa Fe, NM 87505
Phone (505) 690-0794

Organizations & group practices 5

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1083685531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1968",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875041968",
            "telephone_number": "505-820-2302",
            "fax_number": "505-982-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR STE 901B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055569",
            "telephone_number": "505-820-2302",
            "fax_number": "505-982-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "LAWRENCE",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "2001-62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A8506",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NM00JJ88",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.