Individual provider Active NPI

Karen J Lazar, PHD

  • Clinical Psychologist
  • Montclair, NJ
National Provider Identifier
1568583144
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100395500 Issued in NJ
Practice address
108 Orange Rd
Montclair, NJ 07042-2133
Phone
(973) 746-9433
NPI assigned
Apr 2, 2007
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100395500 NJ Primary
Clinical Child & Adolescent Psychologist 103TC2200X 35S100395500 NJ
Psychoanalyst 102L00000X 000736-1 NY
Health Psychologist 103TH0004X 35S100395500 NJ

Addresses

Primary practice location

108 Orange Rd
Montclair, NJ 07042-2133

Mailing address

108 Orange Rd
Montclair, NJ 07042-2133
Phone (973) 746-9433

Other practice location 1

301 S Livingston Ave
ACAP/Suite 205
Livingston, NJ 07039-3932
Phone (973) 746-9433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000210 NJ Practitioner - Clinical Psychologist 8527112440 Practice locations: Livingston, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 S Livingston Ave
Livingston, NJ 07039-3932
Phone (973) 746-9433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000736-1NYMDPsychoanalyst
35S100395500NJMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1568583144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422133",
            "telephone_number": "973-746-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422133",
            "telephone_number": "973-746-9433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Livingston Ave",
            "address_2": "ACAP/Suite 205",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070393932",
            "country_code": "US",
            "telephone_number": "973-746-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100395500",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100395500",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000736-1",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NJ",
            "license": "35S100395500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.