Active NPI
Lara Guzman-Hosta, PSY.D.
- Forensic Psychologist
- Worcester, MA
National Provider Identifier
1518451384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 8958PY-PR
- Practice address
- 361 Plantation St
Worcester, MA 01605-2323 - Phone
- (774) 420-3189
- Fax
- (774) 420-3122
- NPI assigned
- Jun 15, 2018
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 8958PY-PR | MA | Primary |
Addresses
Primary practice location
361 Plantation St
Worcester, MA 01605-2323
Mailing address
361 Plantation St
Worcester, MA 01605-2323
Phone (774) 420-3189
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 |
|---|---|---|---|
| 8958PY-PR | MA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1518451384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052323",
"telephone_number": "774-420-3189",
"fax_number": "774-420-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052323",
"telephone_number": "774-420-3189",
"fax_number": "774-420-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN-HOSTA",
"first_name": "LARA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "8958PY-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.