Active NPI
Mary Ellen Lawlor, PH.D.
- Clinical Psychologist
- Glens Falls, NY
National Provider Identifier
1013136001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10781
- Practice address
- 464 Glen St
Glens Falls, NY 12801-2925 - Phone
- (518) 792-7927
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10781 | NY | Primary |
Addresses
Primary practice location
464 Glen St
Glens Falls, NY 12801-2925
Mailing address
464 Glen St
Glens Falls, NY 12801-2925
Phone (518) 792-7927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01243365 | Medicaid | NY |
Other names 1
- Dr. Mary Ellen Merrigan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10781 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1013136001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 GLEN ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128012925",
"telephone_number": "518-792-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 GLEN ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128012925",
"telephone_number": "518-792-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLOR",
"first_name": "MARY ELLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "10781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01243365",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ELLEN",
"last_name": "MERRIGAN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.