Organization Active NPI

Lawrence Stein, PHD., PA

  • Clinical Psychologist
  • Red Bank, NJ
National Provider Identifier
1598210254
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAWRENCE STEIN, PHD., PA
Practice address
316 Broad St Ste 1
Red Bank, NJ 07701-2155
Phone
(732) 747-8818
Fax
(732) 747-8918
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Lawrence Stein B Stein, PHD
Title
Owner
Phone
(732) 747-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

316 Broad St Ste 1
Red Bank, NJ 07701-2155

Mailing address

316 Broad St Ste 1
Red Bank, NJ 07701-2155
Phone (732) 747-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161130000159 NJ Part B Supplier - Clinic/Group Practice 7517247083 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bank, NJ

National Provider Directory

National Provider Directory

Locations

316 Broad St
Ste 1
Red Bank, NJ 07701
Phone (732) 747-8818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1598210254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BROAD ST STE 1",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012155",
            "telephone_number": "732-747-8818",
            "fax_number": "732-747-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROAD ST STE 1",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012155",
            "telephone_number": "732-747-8818",
            "fax_number": "732-747-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE STEIN, PHD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "LAWRENCE STEIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-747-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.