Lauren Shady Mizrahi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

20 Wenwood Dr
Glen Head, NY 11545-3128

Phone

(516) 723-9034

NPI assigned

Apr 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Shady Mizrahi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1801359526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 JEWEL AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753957",
            "telephone_number": "347-384-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WENWOOD DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453128",
            "telephone_number": "516-723-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "LAUREN",
        "middle_name": "SHADY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MIZRAHI",
            "middle_name": "SHADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medford Medical
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• Helene Dale Mermelstein, PSY.D
• Michael B Capobianco MD
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• Cheryl Moeller, ANP-C
• Lisa Mollick, LMHC
• Nicole E Muia
• Mackenzie Ryan Mulholland

• Behavior Analyst in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.