Active NPI
Lawrence Howard
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1396777546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10795
- Practice address
- 12575 Preston Way
Los Angeles, CA 90066-1823 - Phone
- (310) 710-2029
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10795 | CA | Primary |
Addresses
Primary practice location
12575 Preston Way
Los Angeles, CA 90066-1823
Mailing address
PO Box 3192
Santa Monica, CA 90408-3192
Phone (310) 710-2029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY107950 | Other | CA | LOS ANGELES COUNTY |
| PSY107950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000146 | CA | Practitioner - Clinical Psychologist | 6709072929 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267833600000",
"number": "1396777546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3192",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904083192",
"telephone_number": "310-710-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12575 PRESTON WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661823",
"telephone_number": "310-710-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOS ANGELES COUNTY",
"identifier": "PSY107950",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY107950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.