Active NPI
Lawrence W. Lazarus, M.D.
- Psychiatry Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2001-62
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A8506 | Medicaid | NM | |
| NM00JJ88 | Other | NM | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-62 | NM | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Thomas McCaffrey PSYD LLC | Current | Accepting new patients | |
| Counseling Within LLC | Past | 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.
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Clinical Psychologist
- Santa Fe, NM
- NPI 1225698301
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Clinical Social Worker
- Santa Fe, NM
- NPI 1528382488
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.