Organization Active NPI

Dr. Lawrence Guerra, Psychologist, PC

  • Clinical Psychologist
  • Oyster Bay, NY
National Provider Identifier
1659657054
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012231 Issued in NY
Legal business name
DR. LAWRENCE GUERRA, PSYCHOLOGIST, PC
Practice address
185 South St
Suite 100
Oyster Bay, NY 11771-2254
Phone
(516) 628-0932
Fax
(516) 802-0285
NPI assigned
Oct 29, 2011
Last updated
Oct 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Authorized official

Name
Dr. Lawrence Guerra, PH.D.NPI 1518080878
Title
Clinical Psychologist
Phone
(516) 628-0932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 012231 NY Primary

Addresses

Primary practice location

185 South St
Suite 100
Oyster Bay, NY 11771-2254

Mailing address

185 South St
Suite 100
Oyster Bay, NY 11771-2254
Phone (516) 628-0932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000309 NY Part B Supplier - Clinic/Group Practice 5496920415 Receives reassigned benefits from 1 practitioner
Practice locations: Oyster Bay, NY

National Provider Directory

National Provider Directory

Locations

185 South St
Oyster Bay, NY 11771
Phone (516) 802-0284

185 South St
Fl 1
Oyster Bay, NY 11771
Phone (516) 628-0932

185 South St
Ste 100
Oyster Bay, NY 11771
Phone (516) 628-0932

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319846400000",
    "number": "1659657054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SOUTH ST",
            "address_2": "SUITE 100",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712254",
            "telephone_number": "516-628-0932",
            "fax_number": "516-802-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SOUTH ST",
            "address_2": "SUITE 100",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712254",
            "telephone_number": "516-628-0932",
            "fax_number": "516-802-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAWRENCE GUERRA, PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-628-0932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; 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.