Laura F Van de Laar, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401205 Issued in NY

Practice address

34 North Plank Road
Suite R-2
Newburgh, NY 12550

Phone

(845) 562-0168

Fax

(845) 562-0169

NPI assigned

Apr 29, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2021 through Dec 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cogitare Inc

  dba Laura Van de Laar NPP

  • Child & Adolescent Psychiatry Physician
  • Newburgh, NY
  • NPI 1073486973

  Psychiatric/Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1497999882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N PLANK RD",
            "address_2": "SUITE R-2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502116",
            "telephone_number": "845-562-0168",
            "fax_number": "845-562-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NORTH PLANK ROAD",
            "address_2": "SUITE R-2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-562-0168",
            "fax_number": "845-562-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE LAAR",
        "first_name": "LAURA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00542503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L. Valdina, COTA
• Rosenmarie Sophia Valentin, RN
• Anthony Valicenti Jr.
• Patrick Valicenti
• Valley Dolor LLC
• Lois Vanderbeck, RN
• Verona Vanhorne-Hall, LPN
• Debbie BC Vann, MHC-LP
• Constantine B Vardopoulos, M.D.
• Heidi Rossmery Vargas, SOCIAL WORK STUDENT

• Psychiatric/Mental Health Nurse Practitioner in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.