Active NPI
Lysandra M Perez-Strumolo, PHD
- Clinical Psychologist
- Hamburg, NJ
National Provider Identifier
1265840441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TP#143-048
- Practice address
- 225 Route 23 North
Suite 2B
Hamburg, NJ 07419 - Phone
- (973) 864-2800
- NPI assigned
- Jul 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | TP#143-048 | NJ | Primary |
Addresses
Primary practice location
225 Route 23 North
Suite 2B
Hamburg, NJ 07419
Mailing address
357 Boulevard
Pompton Plains, NJ 07444-1311
Phone (862) 377-4267
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP#143-048 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1265840441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 BOULEVARD",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441311",
"telephone_number": "862-377-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ROUTE 23 NORTH",
"address_2": "SUITE 2B",
"city": "HAMBURG",
"state": "NJ",
"postal_code": "07419",
"telephone_number": "973-864-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-STRUMOLO",
"first_name": "LYSANDRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "TP#143-048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.