Active NPI
Laura L Lerner, PHD
- Clinical Psychologist
- Oak Park, IL
National Provider Identifier
1386747756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 722248
- Practice address
- 1010 Lake St
#607
Oak Park, IL 60301 - Phone
- (708) 383-3070
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 722248 | IL | Primary |
| Psychologist | 103T00000X | 722248 | IL |
Addresses
Primary practice location
1010 Lake St
#607
Oak Park, IL 60301
Mailing address
1010 Lake St
#607 Dr Laura Lerner
Oak Park, IL 60301
Phone (708) 383-3070
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 |
|---|---|---|---|
| 722248 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1386747756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LAKE ST",
"address_2": "#607 DR LAURA LERNER",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60301",
"telephone_number": "708-383-3070",
"fax_number": "708-366-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKE ST",
"address_2": "#607",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60301",
"telephone_number": "708-383-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "LAURA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "722248",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "722248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.