Joel Dean Lazar, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12520 Issued in CA

Practice address

1267 Rosecrans St
Suite E
San Diego, CA 92106

Phone

(619) 540-6038

Fax

(619) 426-1906

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Joel Lazar, PHD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1770320541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124123708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST",
            "address_2": "SUITE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-540-6038",
            "fax_number": "619-426-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST",
            "address_2": "SUITE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-540-6038",
            "fax_number": "619-426-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "JOEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY125200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merlita Dabu Layug, LVN
• Noemi Lazaga
• Christine Lyn Lazalde, R.N.
• Patricia Lazalde, PHD
• David Alexander Lazar, M.D
• Timothy Francis Lazarek, N.P.
• Bridgette Ann Lazaro, PHARMD
• Marie Joy Reyes Lazaro, DDS
• Ninfa Mae Reyes Lazaro
• Pablo Lazaro, D.D.S.

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.