Joel Lazar, PHD PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JOEL LAZAR, PHD PC

Practice address

1267 Rosecrans St Ste E
San Diego, CA 92106-2692

Phone

(619) 540-6038

Fax

(858) 755-2416

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joel Lazar, PHDNPI 1124123708

Title

President

Phone

(619) 540-6038

Specialties & licenses 1

Addresses

Other names 1

• Joel Lazar, Ph.D. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Dean Lazar, PHD

  • Psychologist
  • San Diego, CA
  • NPI 1124123708
  Medicare reassignment NPD Authorized official
• Shelley Wisdom-Lazar, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1467725028
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1770320541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062692",
            "telephone_number": "619-540-6038",
            "fax_number": "858-755-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062692",
            "telephone_number": "619-540-6038",
            "fax_number": "858-755-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL LAZAR, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-540-6038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel Lazar, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer L Jocz, DPT, COMT
• Joe Best Health LLC (The Focused Fitness Academy)
• Joe Raphael a Professional Marriage & Child Counseling Corporation
• Joel E. Mata, M.D. Inc. (Functional Restoration San Diego)
• Joel J. Smith, M.D. Inc.
• Joel M. Snyder MD, a Medical Corporation (San Diego Pediatrics)
• Joel M. Snyder MD, a Medical Corporation (San Diego Pediatric Primary Care Medical Group, Inc.)
• Joel Wong DMD Inc
• Alyssa Joel-Edwards
• Shonali Jog-Khoche, MHS, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.