Lawrence Paul Maucieri Jr., PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

203 N Wabash Ave
Suite 2106
Chicago, IL 60601-2406

Phone

(773) 401-9831

NPI assigned

Nov 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridgepoint Psychology Center Inc.

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1265919039
  Medicare reassignment NPD
• Chicagoland Psychologist, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1144547571
  NPD (past)
• Dr Brian Ragsdale and Associates PC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1124356696
  NPD (past)
• Neuropsychological Associates Inc.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1205049483

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457427239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W SHERIDAN RD",
            "address_2": "APARTMENT 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133320",
            "telephone_number": "773-401-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WABASH AVE",
            "address_2": "SUITE 2106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606012406",
            "telephone_number": "773-401-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCIERI",
        "first_name": "LAWRENCE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1635586",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Matuszak, CMMP
• Bogdan Matuszyk, P.T.
• Johmayra Matute
• Estrella Matyas, MD
• Alissa J Matzinger, PT
• Jennifer Margaret Mauck, M.S.
• Thea Mauck
• Tatiana Mauda, PHARM.D.
• Ann Marie Mauer, M.D.
• Morris Mauer, M.D.

• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.