Mariella Lauriola

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31868 Issued in CA

Practice address

21710 Stevens Creek Blvd Ste 240
Cupertino, CA 95014-1174

Phone

(650) 753-9663

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 16, 2024 through May 16, 2028

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.

• Mariella Lauriola Psychologist Inc

  • Clinical Psychologist
  • Cupertino, CA
  • NPI 1043919723
  NPD Authorized official
• Momentum for Health

  • Psychologist
  • San Jose, CA
  • NPI 1760181234
  NPD (past)
• Momentum for Health

  • Mental Illness Community Based Residential Treatment Facility
  • Palo Alto, CA
  • NPI 1881813350
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1912409293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 240",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141174",
            "telephone_number": "650-753-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 240",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141174",
            "telephone_number": "650-753-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012622",
            "country_code": "US",
            "telephone_number": "650-323-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 The Alameda",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951261136",
            "country_code": "US",
            "telephone_number": "408-261-7777",
            "fax_number": "408-259-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 The Alameda",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951261136",
            "country_code": "US",
            "telephone_number": "408-261-7777",
            "fax_number": "408-259-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 The Alameda",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95126",
            "country_code": "US",
            "telephone_number": "408-261-7777",
            "fax_number": "408-259-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5028 Geary Blvd",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941182814",
            "country_code": "US",
            "telephone_number": "510-306-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURIOLA",
        "first_name": "MARIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Wong Lam, PT
• Lan Nguyen
• Chiahsin Lan, DDS
• Marianne Katariina Lapastora, PSYD
• Sharon S Lau
• Michael John Lauriola, MFT
• Lavasani & Eslami Dental Group Inc
• Cara Le
• Derek Le, RPH
• Quyen Thi Le, PHARM.D

• Clinical Psychologist in Cupertino, CA
• Providers in Cupertino, 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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.