Organization Active NPI

Dr. Amber D. Lazarus, LLC

  • Clinical Psychologist
  • Delray Beach, FL
National Provider Identifier
1336502392
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8979 Issued in FL
Legal business name
DR. AMBER D. LAZARUS, LLC
Practice address
139 Coconut Key LN
Delray Beach, FL 33484-8832
Phone
(561) 271-7207
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Amber Dawn Lazarus, PH.D.
Title
Licensed Clinical Psychologist
Phone
(561) 271-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 8979 FL Primary

Addresses

Primary practice location

139 Coconut Key LN
Delray Beach, FL 33484-8832

Mailing address

139 Coconut Key LN
Delray Beach, FL 33484-8832
Phone (561) 271-7207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1336502392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 COCONUT KEY LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848832",
            "telephone_number": "561-271-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 COCONUT KEY LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848832",
            "telephone_number": "561-271-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AMBER D. LAZARUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-271-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.