Active NPI
Rachel Lawson Orr, PSYD
- Clinical Psychologist
- Kennebunk, ME
National Provider Identifier
1033592837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1588
- Practice address
- Southern Maine Health Care Pediatrics
3 Shape Drive
Kennebunk, ME 04043 - Phone
- (207) 467-8930
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | 1369 | NH | |
| Clinical Psychologist | 103TC0700X | PS1588 | ME | Primary |
Addresses
Primary practice location
Southern Maine Health Care Pediatrics
3 Shape Drive
Kennebunk, ME 04043
Mailing address
3 Shape Dr
Kennebunk, ME 04043-6601
Phone (207) 467-8966
Other practice location 1
1 Main St
Nashua, NH 03064-2716
Phone (603) 883-0005
Other names 1
- Rachel Ashley Lawson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 3, 2023 through Jul 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1369 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1033592837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHAPE DR",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436601",
"telephone_number": "207-467-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTHERN MAINE HEALTH CARE PEDIATRICS",
"address_2": "3 SHAPE DRIVE",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "04043",
"telephone_number": "207-467-8930"
}
],
"practiceLocations": [
{
"address_1": "1 Main St",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030642716",
"country_code": "US",
"telephone_number": "603-883-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORR",
"first_name": "RACHEL",
"middle_name": "LAWSON",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "1369",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "LAWSON",
"middle_name": "ASHLEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.