Individual provider Active NPI

Laurie Gale Stone, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1679548812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 7551 Issued in CA
Practice address
2566 Overland Ave
Suite 500B
Los Angeles, CA 90064-3366
Phone
(310) 479-5957
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 7551 CA Primary

Addresses

Primary practice location

2566 Overland Ave
Suite 500B
Los Angeles, CA 90064-3366

Mailing address

1419 Peerless PL
Apt. 105
Los Angeles, CA 90035-2845
Phone (310) 203-8732

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
I20141202002329 CA Practitioner - Clinical Psychologist 3870815897 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1419 Peerless PL
Apt 105
Los Angeles, CA 90035-2845

2566 Overland Ave
Suite 502
Los Angeles, CA 90064-5600
Phone (310) 293-4212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7551CAMDAddiction (Substance Use Disorder) Counselor
PSY 7551CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679548812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 PEERLESS PL",
            "address_2": "APT. 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352845",
            "telephone_number": "310-203-8732",
            "fax_number": "310-203-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 OVERLAND AVE",
            "address_2": "SUITE 500B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643366",
            "telephone_number": "310-479-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "LAURIE",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 7551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.