Active NPI
Michael J Lafarr Jr., PSY.D.
- Counseling Psychologist
- Waltham, MA
National Provider Identifier
1043466436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 415 South St
Counseling Center, Brandeis University
Waltham, MA 02453-2728 - Phone
- (781) 736-3543
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
415 South St
Counseling Center, Brandeis University
Waltham, MA 02453-2728
Mailing address
415 South St
Counseling Center, Brandeis University
Waltham, MA 02453-2728
Phone (781) 736-3543
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1043466436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"address_2": "COUNSELING CENTER, BRANDEIS UNIVERSITY",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728",
"telephone_number": "781-736-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"address_2": "COUNSELING CENTER, BRANDEIS UNIVERSITY",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728",
"telephone_number": "781-736-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFARR",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.