Lauren Keats

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29411 Issued in CA

Practice address

1014 S Pacific Coast Hwy Ste 102
Redondo Beach, CA 90277-4765

Phone

(310) 855-3288

NPI assigned

Aug 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 clinicians

The Neurobehavioral Healthcare Center, a Professional Psychological CoGroup PAC ID 3779646369, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Re Active Physical Therapy and Wellness

  • Neurology Physical Therapist
  • Los Angeles, CA
  • NPI 1952650475
  Medicare reassignment Care Compare group NPD
• The Neurobehavioral Healthcare Center, a Professional Psychological Co

  • Clinical Neuropsychologist
  • Redondo Beach, CA
  • NPI 1053598201
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356699342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KNOB HILL AVE APT 7",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774765",
            "telephone_number": "408-250-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S PACIFIC COAST HWY STE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774765",
            "telephone_number": "310-855-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 2nd St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904011122",
            "country_code": "US",
            "telephone_number": "310-394-6889",
            "fax_number": "310-394-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATS",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Kashfian, D.M.D
• Erin Kawakami
• Diane D. Kay, M.S.W., PH.D.
• Mitchell Bennett Kayle
• Alicja Emilia Kazmierowska
• Juli Faith Keene, CN
• Keith a. Marcus, MD Inc.
• Keith T Komatsu DDS Apc
• Kelli Rea Marriage & Family Therapy, Inc.
• Elizabeth Kennedy

• Clinical Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.