Individual provider Active NPI

Lauren-Rachelle Palazuelos, PSYD

  • Clinical Psychologist
  • Riverside, CA
National Provider Identifier
1689802167
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29749 Issued in CA
Practice address
4280 Latham St Ste G
Riverside, CA 92501-1737
Phone
(909) 295-5805
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 PSY29749 CA Primary

Addresses

Primary practice location

4280 Latham St Ste G
Riverside, CA 92501-1737

Mailing address

1100 West Town and Country Road
Suite 1250 #9736
Orange, CA 92868
Phone (714) 247-9809

Other practice location 1

513 E 1st St Ste C
Tustin, CA 92780-3348
Phone (714) 247-9809

Other practice location 2

3633 Inland Empire Blvd Ste 777
Ontario, CA 91764-7974
Phone (909) 295-5805

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
I20180126002236 CA Practitioner - Clinical Psychologist 8628338332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.29 of 100Reported as group
Quality
90
Improvement activities
40
Cost
74.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29749CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 1, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Thrive Psychological Services Inc PastSince Jan 23, 2023 Accepting new patients

Locations

3325 Palo Verde Ave
Ste 105106
Long Beach, CA 90808
Phone (562) 344-7777

3325 Palo Verde Ave
Ste 201
Long Beach, CA 90808
Phone (562) 542-3600

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Organizations & group practices 4

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1689802167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WEST TOWN AND COUNTRY ROAD",
            "address_2": "SUITE 1250 #9736",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-247-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 LATHAM ST STE G",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011737",
            "telephone_number": "909-295-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 E 1st St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803348",
            "country_code": "US",
            "telephone_number": "714-247-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3633 Inland Empire Blvd Ste 777",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917647974",
            "country_code": "US",
            "telephone_number": "909-295-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAZUELOS",
        "first_name": "LAUREN-RACHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.