Dina M Lara, SCHOOL PSYCHOLOGIST

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

240027151 Issued in CA

Practice address

Harvey Green Elementary
42875 Gatewood Street
Fremont, CA 94538

Phone

(510) 656-6438

NPI assigned

Oct 18, 2024

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

Other names 1

• Mrs. Dina Lara Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1932920378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 TECHNOLOGY DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386337",
            "telephone_number": "510-657-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARVEY GREEN ELEMENTARY",
            "address_2": "42875 GATEWOOD STREET",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-656-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "DINA",
        "middle_name": "M",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "240027151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "LARA",
            "prefix": "MRS.",
            "credential": "SCHOOL PSYCHOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Richard Lanza
• Rebecca Lao
• Joey Gallo Laplana
• Camille Laporte
• Lara T. San Pedro, Psy.D., a Psychological Corporation
• Jada Lara
• Jasmine Lara
• Mary Larenas, PSY.D.
• Kristi Lynn Larock, PA
• Barbara L Larsen, MFT

• School Psychologist in Fremont, CA
• Providers in Fremont, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.