Ellen Lanzone, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21647 Issued in CA

Practice address

2020 Humboldt St
Santa Rosa, CA 95404-2454

Phone

(510) 825-8203

NPI assigned

Mar 15, 2007

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Strategies Inc a Psychological Corp

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  Medicare reassignment NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1295869865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4781",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954024781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HUMBOLDT ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042454",
            "telephone_number": "510-825-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZONE",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lang
• Samuel Zachary Lange, LMFT
• Joan Langfeld, P.T.
• Jain Fairfax Langston, LMFT
• Evan Lantzman
• Brandon Lao
• Joo-Ann Lao, D.D.S
• Lilian Siguenza Lao, M.D.
• Yelena Lapan, DO
• Joseph Lapenna, MD

• Clinical Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.