LAZARUK PSYCHOLOGICAL SERVICES, INC.
NPI 1043971187
Clinic/Center - Mental Health (Including Community Mental Health Center) in La Canada Flintridge, CA

Active since December 30, 2021
975 REGENT PARK DR, LA CANADA FLINTRIDGE, CA 91011(818) 495-5705 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About LAZARUK PSYCHOLOGICAL SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Lazaruk Psychological Services, Inc., a provider established in La Canada Flintridge, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043971187 assigned on December 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Elanna Lazaruk Psyd (President)

NPI
1043971187 Verify this NPI
Provider Name
LAZARUK PSYCHOLOGICAL SERVICES, INC.
Entity Type
Organization
Location Address
975 REGENT PARK DR LA CANADA FLINTRIDGE, CA 91011
Location Phone
(818) 495-5705
Mailing Address
975 REGENT PARK DR LA CANADA FLINTRIDGE, CA 91011
Mailing Phone
(818) 495-5705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2021
Last Update Date
12-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELANNA LAZARUK PSYD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 495-5705

Reviews for LAZARUK PSYCHOLOGICAL SERVICES, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist
975 REGENT PARK DR
LA CANADA FLINTRIDGE, CA 91011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043971187, enumerated as an "organization" on December 30, 2021.

The provider is located at 975 REGENT PARK DR LA CANADA FLINTRIDGE, CA 91011 and the phone number is (818) 495-5705.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).