David Lorentzen, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23226 Issued in CA

Practice address

299 N Euclid Ave Ste 500
Pasadena, CA 91101-1468

Phone

(626) 209-9747

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Equip Psychological Corporation

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1891370896

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1881739175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N EUCLID AVE STE 500",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011468",
            "telephone_number": "818-523-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N EUCLID AVE STE 500",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011468",
            "telephone_number": "626-209-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTZEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 23226",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Lopuck, DDS
• Chantha Pech Lor
• Lissah Beth Lorberbaum, LMFT
• Michelle Marie Lord, PH.D.
• Jane Judith Lordon
• Sherry Anne Gelle Lorenzo, LMFT
• Lori J. Wynstock, M.D.
• Los Angeles Cardiovascular Care
• Los Angeles Centers for Alcohol and Drug Abuse
• Los Angeles County - Pasadena Mtu

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.