Individual provider Active NPI

Laura Nagham Naman, PHD

  • Clinical Psychologist
  • Lafayette, CA
National Provider Identifier
1679084420
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29354 Issued in CA
Practice address
901 Moraga Rd Ste D
Lafayette, CA 94549-4567
Phone
(925) 298-2737
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 PSY29354 CA
Clinical Psychologist 103TC0700X 29354 CA Primary

Addresses

Primary practice location

901 Moraga Rd Ste D
Lafayette, CA 94549-4567

Mailing address

901 Moraga Rd Ste D
Lafayette, CA 94549-4567
Phone (925) 298-2737

Other practice location 1

1244 Travis Blvd
Fairfield, CA 94533-4802
Phone (707) 422-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171121002183 CA Practitioner - Clinical Psychologist 1658638945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

520 Chadbourne Rd
Fairfield, CA 94534-9656
Phone (707) 427-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY29354CAMDClinical Child & Adolescent Psychologist
29354CAMDLicensed Psychiatric Technician

Organizations & group practices 1

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1679084420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MORAGA RD STE D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494567",
            "telephone_number": "925-298-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MORAGA RD STE D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494567",
            "telephone_number": "925-298-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Travis Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334802",
            "country_code": "US",
            "telephone_number": "707-422-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMAN",
        "first_name": "LAURA",
        "middle_name": "NAGHAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY29354",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.