Lazzaro Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LAZZARO PSYCHOLOGICAL SERVICES, PC

Practice address

36 Main St Ste 105
Park Ridge, IL 60068-4059

Phone

(847) 712-1445

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brian Richard Lazzaro, PH.D.

Title

Owner - Clinical Psychologist

Phone

(847) 712-1445

Specialties & licenses 1

Addresses

Other names 1

• Lazzaro Psychological Services, PC Doing business as

Locations

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1891260485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN ST STE 105",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "847-712-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST STE 105",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "847-712-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZZARO PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "LAZZARO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER - CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-712-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lazzaro Psychological Services, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Marie Lavigne
• Keeley Lawriw
• Michael Layland, MD
• Kenneth Torres Lazaro, FNP-BC
• Kristen Lazicki
• Brian Richard Lazzaro, PH.D.
• Eric Joseph Leadley, NP-C
• Grace Elizabeth Lechner, DPT
• Joiliana Lecointe
• Lee Acupuncture and Healing Center, Inc.

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.