Althea Lazzara PSYD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ALTHEA LAZZARA PSYD LLC

Practice address

48 Mountainview Blvd
Wayne, NJ 07470-6766

Phone

(973) 981-7576

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Althea D Lazzara, PSYD

Title

Sole Member

Phone

(973) 981-7576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1962646158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MOUNTAINVIEW BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706766",
            "telephone_number": "973-981-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MOUNTAINVIEW BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706766",
            "telephone_number": "973-981-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHEA LAZZARA PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-981-7576",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.