Active NPI
Lauren Rogers-Sirin, PH.D.
- Clinical Psychologist
- Staten Island, NY
National Provider Identifier
1972038164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018630
- Practice address
- 401 Bloomingdale Rd
Ste 5
Staten Island, NY 10309-2010 - Phone
- (718) 948-7800
- Fax
- (718) 948-1733
- NPI assigned
- Apr 25, 2017
- 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 | 018630 | NY | Primary |
Addresses
Primary practice location
401 Bloomingdale Rd
Ste 5
Staten Island, NY 10309-2010
Mailing address
401 Bloomingdale Rd
Ste 5
Staten Island, NY 10309-2010
Phone (718) 948-7800
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018630 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakier Psychological Services P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Staten Island, NY
- NPI 1639578206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1972038164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BLOOMINGDALE RD",
"address_2": "STE 5",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103092010",
"telephone_number": "718-948-7800",
"fax_number": "718-948-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BLOOMINGDALE RD",
"address_2": "STE 5",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103092010",
"telephone_number": "718-948-7800",
"fax_number": "718-948-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS-SIRIN",
"first_name": "LAUREN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.