Laurel Gray Coman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14722 Issued in CA

Practice address

10182 Indiana Ave
Tyler Village Wellness & Recovery Clinic
Riverside, CA 92503-5304

Phone

(951) 509-2400

Fax

(951) 509-2405

NPI assigned

Oct 10, 2006

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Riverside Department of Mental Health

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1952793564
  NPD (past)
• County of Riverside Mental Health Department

  • Case Management Agency
  • Riverside, CA
  • NPI 1114154010
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1194812016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10182 INDIANA AVE",
            "address_2": "TYLER VILLAGE WELLNESS & RECOVERY CLINIC",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035304",
            "telephone_number": "951-509-2400",
            "fax_number": "951-509-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10182 INDIANA AVE",
            "address_2": "TYLER VILLAGE WELLNESS & RECOVERY CLINIC",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035304",
            "telephone_number": "951-509-2400",
            "fax_number": "951-509-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMAN",
        "first_name": "LAUREL",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jett Colot
• Dylan Colt
• Stephen Robert Colucci, MD
• Crystal Colvin
• Jennifer K Colyar
• Jazmiere Arnaye Comas
• Emma Claire Combs, BS
• Jordan Comeaux
• Lorie Anna Comeaux
• Kathleen Frances Comer, MSN, FNP-BC

• Psychologist in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.