Active NPI
Nicole Lazorwitz, PSYD
- Psychologist
- Phoenix, AZ
National Provider Identifier
1225134026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4011
- Practice address
- 300 W Clarendon Ave
Suite 470
Phoenix, AZ 85013-3420 - Phone
- (520) 428-4528
- NPI assigned
- Sep 16, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4011 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 4011 | AZ | |
| Counseling Psychologist | 103TC1900X | 4011 | AZ | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4011 | AZ |
Addresses
Primary practice location
300 W Clarendon Ave
Suite 470
Phoenix, AZ 85013-3420
Mailing address
PO Box 45396
Phoenix, AZ 85064-5396
Phone (520) 428-4528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96097 | Other | NE | BCBS AUXILARY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4011 | AZ | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Lazorwitz PSYD LLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Psychologist
- Phoenix, AZ
- NPI 1184212607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1225134026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45396",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850645396",
"telephone_number": "520-428-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "520-428-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZORWITZ",
"first_name": "NICOLE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4011",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4011",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "4011",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "4011",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUXILARY",
"identifier": "96097",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.