Individual provider Active NPI

Catalina Rosario Lawsin, PH.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1366625618
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31125 Issued in CA
Practice address
499 N Canon Dr Ste 206
Beverly Hills, CA 90210-4887
Phone
(347) 229-5105
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009086 IL
Clinical Psychologist 103TC0700X 017217 NY
Clinical Psychologist 103TC0700X 31125 CA Primary

Addresses

Primary practice location

499 N Canon Dr Ste 206
Beverly Hills, CA 90210-4887

Mailing address

2021 Ocean Ave Apt 318
Santa Monica, CA 90405-1052
Phone (347) 229-5105

Other practice location 1

2021 Ocean Ave Apt 317
Santa Monica, CA 90405-1051
Phone (347) 229-5105

Other practice location 2

343 W Dickens Ave Apt 2
Chicago, IL 60614-4664
Phone (347) 229-5105

Other identifiers 3

IdentifierTypeStateIssuer
31125OtherCACALIFORNIA LICENSE
017217OtherNYNEW YORK PSYCHOLOGY LICENSE
071009086OtherILILLINOIS PSYCHOLOGY LICENSE

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

LicenseStateTypeSpecialty
31125CAMDClinical Psychologist
071009086ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1366625618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 OCEAN AVE APT 318",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051052",
            "telephone_number": "347-229-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N CANON DR STE 206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104887",
            "telephone_number": "347-229-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Ocean Ave Apt 317",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051051",
            "country_code": "US",
            "telephone_number": "347-229-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 W Dickens Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606144664",
            "country_code": "US",
            "telephone_number": "347-229-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSIN",
        "first_name": "CATALINA",
        "middle_name": "ROSARIO",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009086",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017217",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "31125",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK PSYCHOLOGY LICENSE",
            "identifier": "017217",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PSYCHOLOGY LICENSE",
            "identifier": "071009086",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.