Individual provider Active NPI

Lawrence Doperak, LP

  • Psychologist
  • MC Murray, PA
National Provider Identifier
1982884227
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-002459-L Issued in PA
Practice address
4150 Washington Rd
Suite 105
MC Murray, PA 15317-2534
Phone
(724) 941-1120
Fax
(724) 941-0993
NPI assigned
Nov 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-002459-L PA Primary

Addresses

Primary practice location

4150 Washington Rd
Suite 105
MC Murray, PA 15317-2534

Mailing address

4150 Washington Rd
P.O. Box 945
MC Murray, PA 15317-2534
Phone (724) 941-1120

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

State licenses

LicenseStateTypeSpecialty
PS-002459-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Crabtree Psychologist Past Accepting new patients
Bluestem Behavioral Health Group LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1982884227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD",
            "address_2": "P.O. BOX 945",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-1120",
            "fax_number": "724-941-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD",
            "address_2": "SUITE 105",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-1120",
            "fax_number": "724-941-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPERAK",
        "first_name": "LAWRENCE",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-002459-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.