Individual provider Active NPI

Lauren Gavron, PHD

  • Clinical Neuropsychologist
  • Sarasota, FL
National Provider Identifier
1104307925
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
10232 Issued in FL
Practice address
107 S Osprey Ave Ste 100
Sarasota, FL 34236-5819
Phone
(941) 216-7272
Fax
(941) 253-3530
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PY10232 FL
Clinical Neuropsychologist 103G00000X 10232 FL Primary

Addresses

Primary practice location

107 S Osprey Ave Ste 100
Sarasota, FL 34236-5819

Mailing address

107 S Osprey Ave Ste 100
Sarasota, FL 34236-5819
Phone (941) 216-7272

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurengavron@neuropsychologyhealthcenter.kareodirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212003005 FL Practitioner - Clinical Psychologist 0547505950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 S Osprey Ave
Suite 100
Sarasota, FL 34236-5819
Phone (941) 216-7272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10232FLMDClinical Neuropsychologist
PY10232FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 1, 2021 Accepting new patients
Neuropsychology Health Center, PLLC Clinical Neuropsychologist CurrentSince Jun 15, 2022 Accepting new patients

Locations

1530 Celebration Blvd
Ste 405
Kissimmee, FL 34747
Phone (321) 559-7015

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

107 S Osprey Ave
Ste 100
Sarasota, FL 34236
Phone (941) 216-7272

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1104307925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S OSPREY AVE STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365819",
            "telephone_number": "941-216-7272",
            "fax_number": "941-253-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S OSPREY AVE STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365819",
            "telephone_number": "941-216-7272",
            "fax_number": "941-253-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRON",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10232",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "10232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurengavron@neuropsychologyhealthcenter.kareodirect.com",
            "affiliation": "N",
            "address_1": "107 S Osprey Ave Ste 100",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342365819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.