Individual provider Active NPI

Lauren Pepa, PH.D., BCBA

  • Clinical Psychologist
  • Hartsdale, NY
National Provider Identifier
1124543012
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022241 Issued in NY
Practice address
280 N Central Ave Ste 305
Hartsdale, NY 10530-1839
Phone
(929) 265-0095
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022241 NY Primary

Addresses

Primary practice location

280 N Central Ave Ste 305
Hartsdale, NY 10530-1839

Mailing address

280 N Central Ave Ste 305
Hartsdale, NY 10530-1839

Other practice location 1

928 Broadway Ste 1204
New York, NY 10010-6071
Phone (929) 265-0095

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022241NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pepa Psychological Services, P.C. Clinical CurrentSince Feb 26, 2023 Accepting new patients

Locations

280 N Central Ave
Ste 305
Hartsdale, NY 10530
Phone (914) 288-8430

Organizations & group practices 1

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1124543012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE STE 305",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE STE 305",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301839",
            "telephone_number": "929-265-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Broadway Ste 1204",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106071",
            "country_code": "US",
            "telephone_number": "929-265-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPA",
        "first_name": "LAUREN",
        "credential": "PH.D., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.