Organization Active NPI

Alan Lazerson

  • Psychiatry Physician
  • Wayland, MA
National Provider Identifier
1902002330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26359 Issued in MA
Legal business name
ALAN LAZERSON
Practice address
25 Main St
Suite 6
Wayland, MA 01778-5036
Phone
(508) 653-4741
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan Lazerson, MD
Title
Owner
Phone
(508) 653-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 26359 MA Primary

Addresses

Primary practice location

25 Main St
Suite 6
Wayland, MA 01778-5036

Mailing address

25 Main St
Suite 6
Wayland, MA 01778-5036
Phone (508) 653-4741

National Provider Directory

National Provider Directory

Locations

25 Main St
Ste 6
Wayland, MA 01778
Phone (508) 653-4741

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902002330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "address_2": "SUITE 6",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785036",
            "telephone_number": "508-653-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "address_2": "SUITE 6",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785036",
            "telephone_number": "508-653-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN LAZERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAZERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-653-4741",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "26359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.