Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jessica Rutstein Lazarus, PSYD

Individual provider Clinical Neuropsychologist · NPI 1942619390

Dr. Jessica Rutstein Lazarus, PSYD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

8400 Roosevelt Blvd Ste 206
Philadelphia, PA 19152-2081
Phone: (215) 333-7562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PS017605 (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS017605 (PA)

Record details

NPI number1942619390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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