Lara Adeline Weyland, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14852 Issued in CA

Practice address

2220 Mountain Blvd
Suite 240
Oakland, CA 94611-2905

Phone

(510) 531-5354

Fax

(510) 222-3508

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Lara Weyland, PH.D., Clinical Psychology, Inc.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1013262906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720187578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 OLINDA RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033542",
            "telephone_number": "510-222-9043",
            "fax_number": "510-222-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112905",
            "telephone_number": "510-531-5354",
            "fax_number": "510-222-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYLAND",
        "first_name": "LARA",
        "middle_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY148520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna R Weston, PHD
• Kathleen Elizabeth Weston, RN, FNP
• Dena Westphalen, PHARMD
• Chaeron Latonya Westry
• Kayla Wettlaufer
• Allyse Wharton, PA-C
• Arianna Wheat, LMFT
• Madelyn Rose Wheeler, MD
• Matthew David Wheeler, BS IN PSYCHOLOGY
• Mia N. Wheeler

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.