Active NPI
Deborah Lazarus
- Psychologist
- New York, NY
National Provider Identifier
1346401106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014065
- Practice address
- 1225 Park Ave
Suite 1SC
New York, NY 10128-1758 - Phone
- (212) 787-4183
- NPI assigned
- Jun 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014065 | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 014065 | NY |
Addresses
Primary practice location
1225 Park Ave
Suite 1SC
New York, NY 10128-1758
Mailing address
1225 Park Ave
Suite 1SC
New York, NY 10128-1758
Phone (212) 787-4183
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014065 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1346401106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 PARK AVE",
"address_2": "SUITE 1SC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281758",
"telephone_number": "212-787-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 PARK AVE",
"address_2": "SUITE 1SC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281758",
"telephone_number": "212-787-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARUS",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "014065",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "014065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.