Lauren Krug, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LAUREN KRUG, PH.D., LLC

Practice address

255 S 17TH St Ste 1606
Philadelphia, PA 19103-6216

Phone

(215) 648-2466

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Rae Krug, PH.D.NPI 1245631175

Title

Psychologist

Phone

(215) 648-2466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Lauren Krug, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1245631175
  Medicare reassignment NPD Authorized official
• Frances G. Martin, PH.D.

  • Psychologist
  • Elkins Park, PA
  • NPI 1770535361
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1386139269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1606",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036216",
            "telephone_number": "215-648-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4732 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191394427",
            "country_code": "US",
            "telephone_number": "215-648-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAUREN KRUG, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "KRUG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-648-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren's House North Philadelphia, LLC
• Julie A Laureni, PA-C
• Ma Gilda Laurente, PT
• Lena Laurentik
• Lauri Haines Psychotherapy

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.