Individual provider Active NPI

Carmen Lazo Mojena, PSYCHOLOGIST

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1154976017
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
250 Catalonia Ave Ste 305
Coral Gables, FL 33134-6730
Phone
(305) 445-5981
Fax
(305) 445-5982
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

250 Catalonia Ave Ste 305
Coral Gables, FL 33134-6730

Mailing address

524 Valencia Ave Apt 1
Coral Gables, FL 33134-5750
Phone (786) 314-2894

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

Practice roles

OrganizationSpecialtyStatusNew patients
Espiga Health CurrentSince Aug 11, 2019 Accepting new patients

Locations

250 Catalonia Ave
Ste 305
Coral Gables, FL 33134
Phone (305) 445-5981

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1154976017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 VALENCIA AVE APT 1",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345750",
            "telephone_number": "786-314-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346730",
            "telephone_number": "305-445-5981",
            "fax_number": "305-445-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO MOJENA",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.