RICHARD JOSEPH LAUTENBACHER
NPI 1457826265
Psychologist - Clinical in Los Angeles, CA

Q: What is Richard Lautenbacher's NPI number?

The NPI number for Richard Lautenbacher is 1457826265. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Q: What is Richard Lautenbacher's specialty?

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

Active since October 08, 2018PECOS Enrolled

5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036(323) 965-1365 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Richard Joseph Lautenbacher NPPES

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

RICHARD JOSEPH LAUTENBACHER (NPI 1457826265) is an individual clinical provider in Los Angeles, California, licensed in California (PSY33652) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457826265

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRICHARD JOSEPH LAUTENBACHER

Location Address5675 W OLYMPIC BLVDLos Angeles, CA 90036-4712

Mailing Address4049 Via Marina # M-203Marina Del Rey, CA 90292-6267 · (310) 418-5509

Phone(323) 965-1365

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 8, 2018

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1457826265 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 · PSY33652

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 ListedCounselorTaxonomy 101Y00000X

5675 W OLYMPIC BLVD, Los Angeles, CA 90036

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Joseph Lautenbacher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840757852

PECOS Enrollment IDI20260811002390

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KELLY SLATER

Student in an Organized Health Care Education/Training Program