Active NPI
Lauren D. Colston, PSY.D.
- Clinical Psychologist
- Temple Hills, MD
National Provider Identifier
1528371580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05984
- Practice address
- 5514 Frazier Ter
Temple Hills, MD 20748-5876 - Phone
- (202) 792-9794
- NPI assigned
- Jul 20, 2010
- Last updated
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1001523 | DC | |
| Clinical Psychologist | 103TC0700X | 0810005976 | VA | |
| Clinical Psychologist | 103TC0700X | 05984 | MD | Primary |
Addresses
Primary practice location
5514 Frazier Ter
Temple Hills, MD 20748-5876
Mailing address
5514 Frazier Ter
Temple Hills, MD 20748-5876
Phone (202) 792-9794
Other practice location 1
1721 Griffin St
Los Angeles, CA 90031-5328
Phone (323) 221-4134 ext. 108
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 |
|---|---|---|---|
| PSY1001523 | DC | MD | Clinical Psychologist |
| 05984 | MD | MD | Clinical Psychologist |
| 0810005976 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1528371580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 FRAZIER TER",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207485876",
"telephone_number": "202-792-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5514 FRAZIER TER",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207485876",
"telephone_number": "202-792-9794"
}
],
"practiceLocations": [
{
"address_1": "1721 Griffin St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900315328",
"country_code": "US",
"telephone_number": "323-221-4134 x108",
"fax_number": "323-221-3231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLSTON",
"first_name": "LAUREN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001523",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005976",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.