Larry Jeffrey Wornian, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY11591 Issued in CA

Practice address

2220 Mountain Blvd
Suite 240
Oakland, CA 94611-2958

Phone

(925) 833-3603

Fax

(510) 654-3733

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1811052541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112958",
            "telephone_number": "925-833-3603",
            "fax_number": "510-654-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112958",
            "telephone_number": "925-833-3603",
            "fax_number": "510-654-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORNIAN",
        "first_name": "LARRY",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY11591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wooten
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• Wendy Elizabeth Worms, MSW, PPSC
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• Stephen J. Wrenn, MD
• Ajani Beecher Wright

• Clinical Neuropsychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.