Individual provider Active NPI

Lauren Half Warren-Faricy, PHD

  • Clinical Neuropsychologist
  • Syracuse, NY
National Provider Identifier
1225355456
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
020269 Issued in NY
Practice address
505 Irving Ave Ste 1249
Institute for Human Performance
Syracuse, NY 13210-1718
Phone
(315) 464-2320
NPI assigned
Apr 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 102893 NC
Clinical Neuropsychologist 103G00000X 020269 NY Primary

Addresses

Primary practice location

505 Irving Ave Ste 1249
Institute for Human Performance
Syracuse, NY 13210-1718

Mailing address

505 Irving Ave Ste 1249
Institute for Human Performance
Syracuse, NY 13210-1718
Phone (315) 464-2320

Other names 1

  • Lauren Half Warren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220825000445 NY Practitioner - Clinical Psychologist 1759765779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suny Health Science Center at SyracuseGroup PAC ID 7214833086, 210 clinicians

Practice addresses (Care Compare)

550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093

90 Presidential PLZ
Syracuse, NY 13202-2240
Phone (315) 464-8093

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
67.92
Promoting interoperability
99
Improvement activities
40
Cost
69.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102893NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suny Health Science Center at Syracuse CurrentSince Jun 1, 2022 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Jun 1, 2022 Accepting new patients

Locations

505 Irving Ave
Ste 1249
Syracuse, NY 13210
Phone (315) 464-2320

505 Irving Ave
Ste 1269
Syracuse, NY 13210
Phone (315) 464-2320

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: lwarrenfaricy20190@direct.upstate.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1225355456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 IRVING AVE STE 1249",
            "address_2": "INSTITUTE FOR HUMAN PERFORMANCE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101718",
            "telephone_number": "315-464-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 IRVING AVE STE 1249",
            "address_2": "INSTITUTE FOR HUMAN PERFORMANCE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101718",
            "telephone_number": "315-464-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN-FARICY",
        "first_name": "LAUREN",
        "middle_name": "HALF",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "102893",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WARREN",
            "middle_name": "HALF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.