Active NPIIndividual providerSole proprietor

Dr. Lara E Baskin, PHD

Psychologist, Clinical in Englewood, New Jersey

NPI Number1922193630
Practice location
25 Rockwood Pl, First Floor, Englewood, NJ 07631-4957
Fax
—
Last updated
September 23, 2022

Lara Elizabeth Baskin is a Psychologist, Clinical based in Englewood, NJ. Lara Elizabeth Baskin practices in Englewood, NJ and has the professional credentials of PHD. The NPI Number for Lara Elizabeth Baskin is 1922193630 and holds a License No. SI 03629 (NJ). The current practice location address for Lara Elizabeth Baskin is 25 Rockwood Pl, First Floor, Englewood, NJ 07631-4957 and can be reached out via phone at 201-735-2036.

Provider Profile Details

NPI Number
1922193630
Provider Name
Lara Elizabeth Baskin
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
25 Rockwood Pl, First Floor, Englewood, NJ 07631-4957
Phone Number
201-735-2036
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
September 23, 2022
Certification Date
September 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Rockwood Pl
First Floor
Englewood, NJ 07631-4957
Zip
07631-4957
Phone Number
201-735-2036
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
521 Piermont Ave S
Unit 506
River Vale, NJ 07675-5720
City
River Vale
State
NJ
Zip
07675-5720
Phone Number
917-273-7896
Fax Number
201-735-2036

License Information

License Number (1)
SI 03629
License State (1)
NJ
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
012492
License State (2)
NY
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X
License Number (3)
012492
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
SI03629
License State (4)
NJ
Taxonomy (4)
Psychologist, Clinical · 103TC0700X
License Number (5)
SI 03629
License State (5)
NJ
Taxonomy (5)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lara E Baskin, PHD?

The NPI number of Dr. Lara E Baskin, PHD is 1922193630. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lara E Baskin, PHD?

Dr. Lara E Baskin, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number SI 03629.

Where does Dr. Lara E Baskin, PHD practice?

The practice location is 25 Rockwood Pl, First Floor, Englewood, NJ 07631-4957. The office can be reached at 201-735-2036 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922193630 directly on the NPPES registry website.

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