Organization Active NPI

Lauren Lucas PHD P a

  • Psychologist
  • Jacksonville, FL
National Provider Identifier
1801851266
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY2701 Issued in FL
Legal business name
LAUREN LUCAS PHD P A
Practice address
3100 University Blvd S
Suite 122
Jacksonville, FL 32216-2758
Phone
(904) 725-2008
Fax
(904) 725-8050
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Lauren Lucas, PH.D.
Title
Licensed Psychologist
Phone
(904) 725-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY2701 FL Primary

Addresses

Primary practice location

3100 University Blvd S
Suite 122
Jacksonville, FL 32216-2758

Mailing address

3100 University Blvd S
Suite 122
Jacksonville, FL 32216-2758
Phone (904) 725-2008

National Provider Directory

National Provider Directory

Locations

1056 Hendricks Ave
Jacksonville, FL 32207
Phone (904) 725-2008

3100 University Blvd S
Ste 122
Jacksonville, FL 32216
Phone (904) 725-2008

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1801851266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "SUITE 122",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162758",
            "telephone_number": "904-725-2008",
            "fax_number": "904-725-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "SUITE 122",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162758",
            "telephone_number": "904-725-2008",
            "fax_number": "904-725-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN LUCAS PHD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-725-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2701",
            "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 Jan 24, 2011; 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.