LAURA MAYORGA
NPI 1356718464
Psychologist - Clinical in San Rafael, CA

Active since August 24, 2015
605 B ST, SAN RAFAEL, CA 94901(415) 250-1274(888) 365-0277 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Mayorga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA MAYORGA (NPI 1356718464) is an individual clinical provider in San Rafael, California, licensed in California (PSY19045) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1356718464
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURA MAYORGA
Location Address605 B STSan Rafael, CA 94901-3805
Mailing AddressPo Box 6062San Rafael, CA 94903-0062 · (415) 250-1274 · Fax (888) 365-0277
Fax(888) 365-0277
Sole ProprietorYes
Enumeration DateAugust 24, 2015
NPI 1356718464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY19045
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY19045 (CA)
605 B ST, San Rafael, CA 94901

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
605 B ST, SUITE B
SAN RAFAEL, CA 94901
Counselor (Mental Health)
605 B ST
SAN RAFAEL, CA 94901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Mayorga's NPI number?

The NPI number for Laura Mayorga is 1356718464. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Laura Mayorga located?

Laura Mayorga practices at 605 B St, San Rafael, CA 94901. The listed phone number is (415) 250-1274.

What is Laura Mayorga's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Laura Mayorga was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.