Active NPI
Lauren Zimmerman Thomas, PSY.D.
- Clinical Neuropsychologist
- Miramar, FL
National Provider Identifier
1417025719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY8169
- Practice address
- 2900 Corporate Way
Ste D
Miramar, FL 33025-3925 - Phone
- (954) 276-5572
- Fax
- (954) 985-7049
- NPI assigned
- Dec 4, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY8169 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY8169 | FL | |
| Clinical Neuropsychologist | 103G00000X | PSY1000616 | DC | |
| Clinical Psychologist | 103TC0700X | PSY1000616 | DC |
Addresses
Primary practice location
2900 Corporate Way
Ste D
Miramar, FL 33025-3925
Mailing address
3600 Washington St
Suite 1005
Hollywood, FL 33021-8216
Phone (954) 518-5007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 352-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000616 | DC | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepherd Center Inc | Current | Accepting new patients | |
| South Florida Psychology PA | Past | Accepting new patients | |
| Dr. Michelle Channing PA | Clinical | Past | Accepting new patients |
| Inpsych Consultants, P.a. | Clinical | Past | Accepting new patients |
Locations
2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Hospital
- Atlanta, GA
- NPI 1043311715
-
- Clinical Psychologist
- Weston, FL
- NPI 1417037102
-
- Clinical Psychologist
- Weston, FL
- NPI 1952629933
-
- Psychologist
- Fort Lauderdale, FL
- NPI 1619202439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1417025719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 WASHINGTON ST",
"address_2": "SUITE 1005",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218216",
"telephone_number": "954-518-5007",
"fax_number": "954-518-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "STE D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5572",
"fax_number": "954-985-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LAUREN",
"middle_name": "ZIMMERMAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY8169",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8169",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "DC",
"license": "PSY1000616",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.