Active NPI
Carmen R Lauzurique Gonzalez, PH.D.
- Behavior Analyst
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY10773 | FL | MD | Psychologist |
| 1751 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lauzurique PHD PA | Current | Accepting new patients | |
| Ab Ayudando Familias, LLC | Current | Accepting new patients | |
| Carrousel Therapy Center Corporation | Behavior Analyst | Current | Accepting new patients |
| Transformative Healthcare Solutions Inc | Current | Accepting new patients | |
| Professional Psychiatric Services, LLC | Behavior Analyst | Current | Accepting new patients |
| Bannel Associates LLC | Current | Accepting new patients | |
| Pro Performance Physical Therapy LLC | Past | 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.
-
- Forensic Psychiatry Physician
- Kissimmee, FL
- NPI 1023304128
Behavior Analyst
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1477114031
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1730524083
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kissimmee, FL
- NPI 1215623665
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1679562797
Behavior Analyst
-
- Clinical Psychologist
- Kissimmee, FL
- NPI 1215641295
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayamon, PR
- NPI 1336546233
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.