Individual provider Active NPI

Lawrence Lazare Alssid, PHD

  • Clinical Psychologist
  • Wantagh, NY
National Provider Identifier
1932294337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8694 Issued in NY
Practice address
3375 Park Ave.
Suite 4000
Wantagh, NY 11793-3799
Phone
(516) 221-4708
Fax
(516) 221-4709
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8694 NY Primary

Addresses

Primary practice location

3375 Park Ave.
Suite 4000
Wantagh, NY 11793-3799

Mailing address

3375 Park Ave.
Suite 4000
Wantagh, NY 11793-3799
Phone (516) 221-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8694NYMDClinical Psychologist
008694NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932294337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE.",
            "address_2": "SUITE 4000",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933799",
            "telephone_number": "516-221-4708",
            "fax_number": "516-221-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE.",
            "address_2": "SUITE 4000",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933799",
            "telephone_number": "516-221-4708",
            "fax_number": "516-221-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSSID",
        "first_name": "LAWRENCE",
        "middle_name": "LAZARE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.