Rosanna Lora, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4149 Issued in NC

Practice address

90 Guardian CT
Rocky Mount, NC 27804-3017

Phone

(252) 212-3350

Fax

(252) 212-0322

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mosaic Psychological Services, PLLC

  • Adult Mental Health Clinic/Center
  • Wake Forest, NC
  • NPI 1730968660
  NPD Authorized official
• Wake County Psychological Services, Inc.

  • Counseling Psychologist
  • Wake Forest, NC
  • NPI 1447343454
  NPD
• Northside Psychology PLLC

  • Psychologist
  • Brooklyn, NY
  • NPI 1477058998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1043358997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-212-6802",
            "fax_number": "252-212-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GUARDIAN CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043017",
            "telephone_number": "252-212-3350",
            "fax_number": "252-212-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "ROSANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043358997",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Patrick Long, BCBA
• Joshua Long, ATC, LAT
• Lonlicocares
• Lourdes L Lopez
• Gaoshen Cristi Lor
• Elizabeth D. Lord, PA-C
• Love Ministries Church Incorporated
• Lovely Care Services, LLC
• Lovely Home Care LLC
• Loving Care Supervised Living Group

• All providers in Rocky Mount, NC
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.

Verify at the official NPI Registry.