Judy D Lamb, PH.D., MSCP
Individual provider Active NPI Psychologist · Northlake, TX
NPI 1710117262 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1710117262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 39571 (TX)
- Practice address
- 100 Plaza Place Ste 300
Pmb1022
Northlake, TX 76226 - Phone
- (619) 356-0279
- NPI assigned
- Jul 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5755 Oberlin Dr
Suite 203
San Diego, CA 92121-1786
Phone (858) 362-5331
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160503001828 | CA | Practitioner - Clinical Psychologist | 2365741949 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203649 | ID | MD | Psychologist |
| 28244 | CA | MD | Clinical Social Worker |
| 39571 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Psychology Centers, Apc | Current |
Accepting new patients | |
| Head Strong & Ready | Current |
Accepting new patients | |
| Head Strong & Ready Texas | Psychologist | Current | Accepting new patients |
Locations
9920 Pacific Heights Blvd
Ste 150
San Diego, CA 92121
Phone (855) 559-7433
5755 Oberlin Dr
Ste 203
San Diego, CA 92121
Phone (858) 218-6187
8775 Aero Dr
Ste 238
San Diego, CA 92123
Phone (619) 930-9524
2650 FM 407 E
Ste 145
Bartonville, TX 76226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 28244 | CA | |
| Psychologist | 103T00000X | 203649 | ID | |
| Psychologist | 103T00000X | 39571 | TX | Yes |
Addresses
Primary practice location
100 Plaza Place Ste 300
Pmb1022
Northlake, TX 76226
Mailing address
100 Plaza Place Ste 300
Pmb1022
Northlake, TX 76226
Phone (619) 356-0279
Other providers in Northlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.