Tamara Latawiec, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4894 Issued in NJ

Practice address

43 W Front St Ste 18
Red Bank, NJ 07701-1600

Phone

(732) 720-3236

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1801913181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST STE 18",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011600",
            "telephone_number": "732-720-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST STE 18",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011600",
            "telephone_number": "732-720-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATAWIEC",
        "first_name": "TAMARA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "235420",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele R Lanza, MD
• Lanza'S Medical Center, LLC
• Anthony Lanzano, DC
• Lashes by Liz Dba Winks Hair & Lash Studio
• Reham Laszlo
• Gianna Latella, DMD
• Lisa B. Latella, D.M.D.
• Lorraine Laura, LCSW
• Lauren Pellizzi LLC
• Laurie Terres PSYD, LLC

• Clinical Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.