Active NPI
Lauren Wecker, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1154572527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23365
- Practice address
- 2001 S Barrington Ave
#117
Los Angeles, CA 90025-5363 - Phone
- (310) 383-1505
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23365 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave
#117
Los Angeles, CA 90025-5363
Mailing address
PO Box 25066
Los Angeles, CA 90025-0066
Phone (310) 383-1505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1154572527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25066",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900250066",
"telephone_number": "310-383-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"address_2": "#117",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "310-383-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.