Active NPI
Lauren Elizabeth Hazzouri, PSYD
- Clinical Psychologist
- Scranton, PA
National Provider Identifier
1669721163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017066
- Practice address
- 600 Lackawanna Ave
Mezzanine Level
Scranton, PA 18503 - Phone
- (570) 344-4111
- Fax
- (570) 344-4115
- NPI assigned
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017066 | PA | Primary |
Addresses
Primary practice location
600 Lackawanna Ave
Mezzanine Level
Scranton, PA 18503
Mailing address
600 Lackawanna Ave
Mezzanine Level
Scranton, PA 18503
Phone (570) 344-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017066 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1669721163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LACKAWANNA AVE",
"address_2": "MEZZANINE LEVEL",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-344-4111",
"fax_number": "570-344-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LACKAWANNA AVE",
"address_2": "MEZZANINE LEVEL",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-344-4111",
"fax_number": "570-344-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZZOURI",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.