Active NPI
Laurel Lynn Langholz, PH.D.
- Psychologist
- Cedar Rapids, IA
National Provider Identifier
1356644793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001165
- Practice address
- 1930 Saint Andrews CT NE Ste D
Ste 309
Cedar Rapids, IA 52402-5832 - Phone
- (319) 320-3211
- Fax
- (319) 237-7345
- NPI assigned
- Dec 7, 2010
- Last updated
- Sep 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001165 | IA | Primary |
Addresses
Primary practice location
1930 Saint Andrews CT NE Ste D
Ste 309
Cedar Rapids, IA 52402-5832
Mailing address
1930 Saint Andrews CT NE Ste D
Ste 309
Cedar Rapids, IA 52402-5832
Phone (319) 320-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12259001 | Other | IA | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001165 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1356644793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 SAINT ANDREWS CT NE STE D",
"address_2": "STE 309",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025832",
"telephone_number": "319-320-3211",
"fax_number": "319-237-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 SAINT ANDREWS CT NE STE D",
"address_2": "STE 309",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025832",
"telephone_number": "319-320-3211",
"fax_number": "319-237-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHOLZ",
"first_name": "LAUREL",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "001165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "12259001",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.