Individual provider Active NPI

Lauren Lee-Rowland, PHD

  • Clinical Psychologist
  • Nazareth, PA
National Provider Identifier
1669073508
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019146 Issued in PA
Practice address
299 Industrial Dr
Nazareth, PA 18064-2439
Phone
(610) 504-6122
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS019146 PA
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS019146 PA Primary

Addresses

Primary practice location

299 Industrial Dr
Nazareth, PA 18064-2439

Mailing address

299 Industrial Dr
Nazareth, PA 18064-2439
Phone (610) 504-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220404000958 PA Practitioner - Clinical Psychologist 8729474507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS019146PAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Neuropyschological and Behavioral Services LLC Single Specialty CurrentSince Mar 16, 2022 Accepting new patients
Kimberly Gentempo-McAllister Pys D LLC Single Specialty CurrentSince Mar 16, 2022 Accepting new patients

Locations

299 Industrial Dr
Nazareth, PA 18064
Phone (610) 504-6122

Organizations & group practices 2

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669073508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439",
            "telephone_number": "610-504-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439",
            "telephone_number": "610-504-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-ROWLAND",
        "first_name": "LAUREN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS019146",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.