Individual provider Active NPI

Lauren Martha Sweitzer, PSYD

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1700654175
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
68-P123960-01 Issued in NY
Practice address
48 N Maple Ave Unit 309
Ridgewood, NJ 07450-3282
Phone
(203) 246-3848
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 68-P123960-01 NY Primary

Addresses

Primary practice location

48 N Maple Ave Unit 309
Ridgewood, NJ 07450-3282

Mailing address

48 N Maple Ave Unit 309
Ridgewood, NJ 07450-3282
Phone (203) 246-3848

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

LicenseStateTypeSpecialty
68-P123960-01NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1700654175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N MAPLE AVE UNIT 309",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503282",
            "telephone_number": "203-246-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N MAPLE AVE UNIT 309",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503282",
            "telephone_number": "203-246-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEITZER",
        "first_name": "LAUREN",
        "middle_name": "MARTHA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68-P123960-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.