Lancaster Psychotherapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LANCASTER PSYCHOTHERAPY LLC

Practice address

313 W Liberty St Ste 223
Lancaster, PA 17603-2722

Phone

(717) 475-7263

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Leonor CabouliNPI 1922082668

Title

Clinical Psychologist

Phone

(717) 475-7263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L Cabouli, PHD

  • Clinical Psychologist
  • Lancaster, PA
  • NPI 1922082668
  NPD (past) Authorized official

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1588178388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MARKET ST UNIT 404",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033850",
            "telephone_number": "717-399-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 223",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032722",
            "telephone_number": "717-475-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "CABOULI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEONOR",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-475-7263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.