Active NPI
Marisa Zoe Lausell, PSY.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1497096986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4575
- Practice address
- 1689 Calle Parana, Urb. Rio Piedras Heights
Calle Ural 1712
San Juan, PR 00926 - Phone
- (787) 649-5359
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 4575 | PR | Primary |
Addresses
Primary practice location
1689 Calle Parana, Urb. Rio Piedras Heights
Calle Ural 1712
San Juan, PR 00926
Mailing address
Urb. Rio Piedras Heights
Calle Ural 1712
San Juan, PR 00926
Phone (787) 649-5359
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4575 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1497096986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. RIO PIEDRAS HEIGHTS",
"address_2": "CALLE URAL 1712",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-649-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 CALLE PARANA, URB. RIO PIEDRAS HEIGHTS",
"address_2": "CALLE URAL 1712",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-649-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUSELL",
"first_name": "MARISA",
"middle_name": "ZOE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "4575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.