Active NPI
Lauren Delaparte, PHD
- Clinical Psychologist
- Jacksonville, FL
National Provider Identifier
1730713868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11506
- Practice address
- 11250 Old Saint Augustine Rd Ste 15-150
Jacksonville, FL 32257-1088 - Phone
- (904) 201-9565
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | PSY0005320 | CO | |
| Clinical Psychologist | 103TC0700X | PY11506 | FL | Primary |
Addresses
Primary practice location
11250 Old Saint Augustine Rd Ste 15-150
Jacksonville, FL 32257-1088
Mailing address
11250 Old Saint Augustine Rd Ste 15-150
Jacksonville, FL 32257-1088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY0005320 | CO | MD | Clinical Psychologist |
| PY11506 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1730713868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11250 OLD SAINT AUGUSTINE RD STE 15-150",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11250 OLD SAINT AUGUSTINE RD STE 15-150",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571088",
"telephone_number": "904-201-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAPARTE",
"first_name": "LAUREN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY0005320",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.