1. Home
  2. Directory
  3. California
  4. Corcoran
  5. Psychologist
  6. NPI Profile

DR. ANDREA LACKOVIC PSY.D.
NPI 1871612994
Psychologist - Clinical in Corcoran, CA

Active since March 28, 2007
4001 KING AVE, CORCORAN, CA 93212(559) 992-8800 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrea Lackovic Psy.d. NPPES

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

DR. ANDREA LACKOVIC PSY.D. (NPI 1871612994) is an individual clinical provider in Corcoran, California, licensed in California (PSY23544) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1871612994
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA LACKOVICCredential: PSY.D.
Location Address4001 KING AVECorcoran, CA 93212-9611
Mailing AddressPo Box 8800Corcoran, CA 93212-8800 · (559) 992-8800
Phone(559) 992-8800
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 26, 2013
✔ NPI 1871612994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY23544
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.
4001 KING AVE, Corcoran, CA 93212
Open in Google Maps ↗

Other Identifiers 1

OtherPSY23544CA · Ca License Number

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.

DR. HELEN ANN BECICH PH.D.
Psychologist (Clinical)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. SEAN OTTO KANE PHARM.D.
Pharmacist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 685-2505
DR. IRV M WILBUR DDS
Dentist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DENISE OLIVARES
Student in an Organized Health Care Education/Training Program
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. KIRK MUNO GERSTEL DDS
Dentist (General Practice)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
DR. BARRY CHONG PH.D.
Psychologist (Forensic)
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
SUNG YEON KIM PHARMD
Pharmacist
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800
JONATHAN BRADLEY
Student in an Organized Health Care Education/Training Program
4001 KING AVE
CORCORAN, CA 93212
Kings County (559) 992-8800

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 Andrea Lackovic's NPI number?

The NPI number for Andrea Lackovic is 1871612994. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Andrea Lackovic located?

Andrea Lackovic practices at 4001 King Ave, Corcoran, CA 93212. The listed phone number is (559) 992-8800.

What is Andrea Lackovic'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 Andrea Lackovic was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.