Laurie J. Belzer, PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005119 Issued in IL

Legal business name

LAURIE J. BELZER, PHD, PC

Doing business as

Lakeshore Psychotherapy Alliance

Practice address

655 W Irving Park Rd
Suite 201
Chicago, IL 60613-3123

Phone

(773) 529-6464

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Jpan Belzer, PH.D.NPI 1770606659

Title

President

Phone

(773) 529-6464

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Psychotherapy Alliance Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Joan Belzer, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1770606659
  NPD (past) Authorized official

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1154571255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 W GIDDINGS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252001",
            "telephone_number": "773-529-6464",
            "fax_number": "773-529-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133123",
            "telephone_number": "773-529-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE J. BELZER, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BELZER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-529-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Psychotherapy Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Solarz Richter Therapy, PLLC
• McKenna Laurent
• Stacy Laurent
• Theresa M Laurenz, MS, RD, LDN
• Luke N Lauridsen, MD
• Laurie M Hanson LCSW, LLC
• Charles Edward Laurito, MD
• Laura Laursen, MD
• Katherine Lauterbach, D.D.S.
• Alex Nicole Lautmann

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.