Individual provider Active NPI

Carmen R Lauzurique Gonzalez, PH.D.

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1598089229
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone
(787) 528-5560
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1751 PR
Psychologist 103T00000X PY10773 FL
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875

Mailing address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140219000527 PR Practitioner - Clinical Psychologist 0648409508 Practice locations: San Juan, PR
I20200803001592 FL Practitioner - Clinical Psychologist 0648409508 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Healthcare Solutions IncGroup PAC ID 8921337973, 27 clinicians
Carrousel Therapy Center CorporationGroup PAC ID 3173893385, 5 clinicians

Practice addresses (Care Compare)

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500

1906 N John Young Pkwy
Kissimmee, FL 34741-3221
Phone (407) 910-2941

3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone (407) 910-2941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY10773FLMDPsychologist
1751PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lauzurique PHD PA CurrentSince Feb 8, 2023 Accepting new patients
Ab Ayudando Familias, LLC CurrentSince Mar 2, 2023 Accepting new patients
Carrousel Therapy Center Corporation Behavior Analyst CurrentSince May 24, 2023 Accepting new patients
Transformative Healthcare Solutions Inc CurrentSince Jun 4, 2020 Accepting new patients
Professional Psychiatric Services, LLC Behavior Analyst CurrentSince Sep 1, 2020 Accepting new patients
Bannel Associates LLC CurrentSince Apr 1, 2025 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients
Grupo Sepi LLC Past Accepting new patients

Locations

624 S Atlantic Ave
Daytona Beach, FL 32118
Phone (386) 258-5116

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 887-5505

501 E Oak St
Ste F
Kissimmee, FL 34744
Phone (407) 955-6719

413 W Vine St
Kissimmee, FL 34741
Phone (407) 785-3265

5449 S Semoran Blvd
Ste 20
Orlando, FL 32822
Phone (407) 734-1273

3201 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-4079

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1598089229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "787-528-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUZURIQUE GONZALEZ",
        "first_name": "CARMEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1751",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10773",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.