Lorena Escoriaza, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019824 Issued in NY

Practice address

611 Broadway RM 718
New York, NY 10012

Phone

(646) 330-3005

NPI assigned

Oct 11, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1720330079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROADWAY RM 718",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122649",
            "telephone_number": "646-330-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY RM 718",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "646-330-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 W 29th St Apt 4E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015213",
            "country_code": "US",
            "telephone_number": "939-645-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCORIAZA",
        "first_name": "LORENA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Theresa Tipon Escobia-Ocampo, PHYSICAL THERAPIST
• Gary Sean Escola, M.D., PH.D.
• Bettina Therese Macariola Escolano, M.D.
• Elizabeth Escolastico
• Freddy E. Escorcia, M.D., PH.D.
• Louella Fe Escoto-Ortaliz, FNP-BC, NP-C
• Rebecca E Escoto, MPAS, PA-C
• Jessica Leigh Escott, PSYD
• Escript360 Nyc LLC
• Anna Gabriela Escuder, M.D.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.