Individual provider Active NPI

Lauren Silberstein, PH.D.

  • Clinical Psychologist
  • Evanston, WY
National Provider Identifier
1154724318
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
547 Issued in WY
Practice address
50 Allegiance Cir
Evanston, WY 82930-3804
Phone
(307) 789-3710
Fax
(307) 789-0823
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 547 WY Primary

Addresses

Primary practice location

50 Allegiance Cir
Evanston, WY 82930-3804

Mailing address

50 Allegiance Cir
Evanston, WY 82930-3804
Phone (307) 789-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160225002576 MN Practitioner - Clinical Psychologist 6002132594 Reassigns benefits to 1 organization
I20240329001940 WA Practitioner - Clinical Psychologist 6002132594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emily Program P C 49 clinicians

Practice addresses (Care Compare)

1700 Westlake Ave N
Suite 700
Seattle, WA 98109-3097
Phone (888) 364-5977

2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
547WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Feb 10, 2016 Accepting new patients
Emily Program PC CurrentSince Feb 13, 2024 Accepting new patients
Emily Program PC Past Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

2265 Como Ave
#310
Saint Paul, MN 55108

1660 Highway 100 S
Ste 250
St Louis Park, MN 55416
Phone (952) 746-5774

3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500

673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689

1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220

2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366

Organizations & group practices 3

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1154724318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALLEGIANCE CIR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303804",
            "telephone_number": "307-789-3710",
            "fax_number": "307-789-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALLEGIANCE CIR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303804",
            "telephone_number": "307-789-3710",
            "fax_number": "307-789-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERSTEIN",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

Verify at the official NPI Registry.