Beatrice S. Lazaroff, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-003140-L Issued in PA

Practice address

401 Clairemont Rd
Villanova, PA 19085-1705

Phone

(610) 527-8537

Fax

(610) 566-6637

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265402234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CLAIREMONT RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851705",
            "telephone_number": "610-527-8537",
            "fax_number": "610-566-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CLAIREMONT RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851705",
            "telephone_number": "610-527-8537",
            "fax_number": "610-566-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAROFF",
        "first_name": "BEATRICE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-003140-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07106155",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Alexander Klein, D.C.
• Eric Peter Kramer, MED
• Sara Ingri Kulleseid, M.D.
• Brian Kunz, DMD
• Rhonda Lea Lahue-Mordy, D.O.
• Adam Leid, DO
• Lewis and Benson Psychiatry PLLC
• Morgan Lewis, D.O.
• Walter G. List IV, A.T.C.
• Melinda Lee Long

• Clinical Psychologist in Villanova, PA
• Providers in Villanova, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.