Organization Active NPI

Lazar Psychological Services, P.C.

  • Clinical Psychologist
  • Marshall, MI
National Provider Identifier
1356531909
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAZAR PSYCHOLOGICAL SERVICES, P.C.
Practice address
310 W Green St
Marshall, MI 49068-1519
Phone
(269) 781-0157
Fax
(269) 781-9755
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Lazar Claire Lazar, PH.D.
Title
Owner
Phone
(269) 781-0157

Specialties & licenses 1

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

Addresses

Primary practice location

310 W Green St
Marshall, MI 49068-1519

Mailing address

310 W Green St
Marshall, MI 49068-1519
Phone (269) 781-0157

Other identifiers 1

IdentifierTypeStateIssuer
0A31143OtherMIBCBSM

National Provider Directory

National Provider Directory
Tax ID family
Lazar Psychological Services LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1356531909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W GREEN ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681519",
            "telephone_number": "269-781-0157",
            "fax_number": "269-781-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W GREEN ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681519",
            "telephone_number": "269-781-0157",
            "fax_number": "269-781-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZAR PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "LAZAR",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-0157",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0A31143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.