Organization Active NPI

Lauren Drag PHD a Psychological Corporation

  • Clinical Psychologist
  • Los Gatos, CA
National Provider Identifier
1902641897
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAUREN DRAG PHD A PSYCHOLOGICAL CORPORATION
Practice address
15100 Los Gatos Blvd Ste 3
Los Gatos, CA 95032-2028
Phone
(408) 828-0124
Fax
(855) 557-8583
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Lauren Drag, PHDNPI 1245523992
Title
Chief Executive Officer
Phone
(408) 828-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

15100 Los Gatos Blvd Ste 3
Los Gatos, CA 95032-2028

Mailing address

15100 Los Gatos Blvd Ste 3
Los Gatos, CA 95032-2028
Phone (408) 828-0124

National Provider Directory

National Provider Directory

Locations

15100 Los Gatos Blvd
Ste 3
Los Gatos, CA 95032
Phone (408) 827-5699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1902641897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322028",
            "telephone_number": "408-828-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322028",
            "telephone_number": "408-828-0124",
            "fax_number": "855-557-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN DRAG PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "DRAG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-828-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.