Active NPI
Lara E. Embry, PH.D.
- Clinical Psychologist
- Birmingham, AL
National Provider Identifier
1740345529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1899
- Practice address
- 3256 Highland Dr
Birmingham, AL 35205-1451 - Phone
- (205) 538-5823
- NPI assigned
- Dec 22, 2006
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY 7390 | FL | |
| Clinical Psychologist | 103TC0700X | PY 7390 | FL | |
| Health Service Psychologist | 103TH0100X | PY 7390 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1899 | AL | |
| Clinical Psychologist | 103TC0700X | 1899 | AL | Primary |
| Family Psychologist | 103TF0000X | 1899 | AL | |
| Forensic Psychologist | 103TF0200X | 1899 | AL | |
| Health Psychologist | 103TH0004X | 1899 | AL |
Addresses
Primary practice location
3256 Highland Dr
Birmingham, AL 35205-1451
Mailing address
3256 Highland Dr
Birmingham, AL 35205-1451
Phone (205) 538-5823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7390 | FL | MD | Clinical Neuropsychologist |
| 1899 | AL | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra K Carter PH D & Associates PA | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Bradenton, FL
- NPI 1356406235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1740345529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3256 HIGHLAND DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051451",
"telephone_number": "205-538-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3256 HIGHLAND DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051451",
"telephone_number": "205-538-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "LARA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 7390",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7390",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY 7390",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AL",
"license": "1899",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1899",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "AL",
"license": "1899",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AL",
"license": "1899",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AL",
"license": "1899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.