Active NPI
Carol B Laurenzano, PSY.D.
- Clinical Psychologist
- Allentown, PA
National Provider Identifier
1952451189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS005827-L
- Practice address
- 415 N Ott St
Allentown, PA 18104-4834 - Phone
- (484) 224-2216
- Fax
- (484) 224-2216
- NPI assigned
- Jan 11, 2007
- Last updated
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS005827-L | PA | Primary |
Addresses
Primary practice location
415 N Ott St
Allentown, PA 18104-4834
Mailing address
415 N Ott St
Allentown, PA 18104-4834
Phone (484) 224-2216
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005827-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1952451189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N OTT ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044834",
"telephone_number": "484-224-2216",
"fax_number": "484-224-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N OTT ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044834",
"telephone_number": "484-224-2216",
"fax_number": "484-224-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENZANO",
"first_name": "CAROL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005827-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.