Erin Lacy Mendoza, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100509700 Issued in NJ

Practice address

210 W Front St
Suite 208
Red Bank, NJ 07701-1155

Phone

(732) 779-1725

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Lacy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Belay Psychological Services, LLC

  • Clinical Psychologist
  • Red Bank, NJ
  • NPI 1528425527
  NPD (past) Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1346421583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST",
            "address_2": "SUITE 208",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011155",
            "telephone_number": "732-779-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST",
            "address_2": "SUITE 208",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011155",
            "telephone_number": "732-779-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ERIN",
        "middle_name": "LACY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017925",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100509700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Britt Melewski, LCSW
• Melinda L. Wagner DMD LLC
• Angela Terese Mellone, BCBA
• Victoria Memos
• Erin Patricia Mendini
• Mental Health Counseling Service
• Meredith O'Brien, LCSW, LLC
• Meridian Health
• Meridian Hospitals Corporation
• Meridian Hospitals Corporation

• Clinical Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.