Wayne Lavender PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4755 Issued in NY

Legal business name

WAYNE LAVENDER PHD

Practice address

62 Pierrepont St
# 1E
Brooklyn, NY 11201-2452

Phone

(718) 596-7442

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne J Lavender, PHDNPI 1801965744

Title

Owner

Phone

(718) 596-7442

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne J Lavender, PHD

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1801965744
  NPD (past) Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497951198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PIERREPONT ST",
            "address_2": "# 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012452",
            "telephone_number": "718-596-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PIERREPONT ST",
            "address_2": "# 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012452",
            "telephone_number": "718-596-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE LAVENDER PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-596-7442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kimberly Waxman
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• Wayne Advising Corporation
• Wayne Tabachnick, OD PC
• Tanya Marie Wayne-Houtz
• Deborah Wayne
• Michael G Wayne, D.O.
• Hersh Wazir, MD

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.