Individual provider Active NPI

Laura Elaine Lajos, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1174556765
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8143 Issued in FL
Practice address
2415 University Pkwy Ste 219
Sarasota, FL 34243-2809
Phone
(800) 687-1938
Fax
(727) 495-7233
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 963 LA
Clinical Psychologist 103TC0700X PY8143 FL Primary

Addresses

Primary practice location

2415 University Pkwy Ste 219
Sarasota, FL 34243-2809

Mailing address

2415 University Pkwy Ste 219
Sarasota, FL 34243-2809
Phone (800) 687-1938

Other identifiers 1

IdentifierTypeStateIssuer
1475777MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000545 FL Practitioner - Clinical Psychologist 9234194275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
963LAMDAddiction (Substance Use Disorder) Counselor
PY8143FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neuropsychology, LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
GPS II PastSince Sep 29, 2010 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Dec 20, 2013 Accepting new patients

Locations

2415 University Pkwy
Ste 2
Sarasota, FL 34243
Phone (800) 687-1938

2415 University Pkwy
Ste 219
Sarasota, FL 34243
Phone (800) 687-1938

Organizations & group practices 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1174556765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "800-687-1938",
            "fax_number": "727-495-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "800-687-1938",
            "fax_number": "727-495-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJOS",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "963",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475777",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.