Organization Active NPI

Lauren O. Patterson, Psy.D., L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Statesboro, GA
National Provider Identifier
1134906118
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAUREN O. PATTERSON, PSY.D., L.L.C.
Practice address
345 S Walnut St
Statesboro, GA 30458-5496
Phone
(912) 231-7279
NPI assigned
Sep 12, 2023
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Lauren Olivia Patterson-Siekirk, PSY.D.NPI 1336760164
Title
Sole Owner
Phone
(912) 231-7279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

345 S Walnut St
Statesboro, GA 30458-5496

Mailing address

345 S Walnut St
Statesboro, GA 30458-5496

National Provider Directory

National Provider Directory

Locations

108 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 233-1312

345 S Walnut St
Statesboro, GA 30458
Phone (912) 231-7279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1134906118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S WALNUT ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S WALNUT ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585496",
            "telephone_number": "912-231-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN O. PATTERSON, PSY.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-SIEKIRK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "912-231-7279",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.