Active NPI
Lauri Michelle Yablick, PH.D.
- Clinical Neuropsychologist
- Tucson, AZ
National Provider Identifier
1720120827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1975
- Practice address
- 2650 N Wyatt Dr
Tucson, AZ 85712-6106 - Phone
- (520) 320-6230
- Fax
- (520) 322-3665
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1975 | AZ | Primary |
| Psychologist | 103T00000X | 1975 | AZ |
Addresses
Primary practice location
2650 N Wyatt Dr
Tucson, AZ 85712-6106
Mailing address
7461 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 320-6230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0616740 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 104779 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100 | NM | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cura Healthcare | Current | Accepting new patients |
Locations
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
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.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1649984667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1720120827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7461 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153477",
"telephone_number": "520-320-6230",
"fax_number": "520-322-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 N WYATT DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126106",
"telephone_number": "520-320-6230",
"fax_number": "520-322-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABLICK",
"first_name": "LAURI",
"middle_name": "MICHELLE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "1975",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1975",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AZ",
"identifier": "AZ0616740",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104779",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.