Active NPI
Norrette T Lohr-Thierry, PH.D.
- Clinical Psychologist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15086
- Practice address
- 10061 Talbert Ave
200
Fountain Valley, CA 92708-5159 - Phone
- (714) 878-4616
- NPI assigned
- Jul 8, 2006
- Last updated
- Aug 6, 2020
- 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 | PSY15086 | CA | Primary |
Addresses
Primary practice location
10061 Talbert Ave
200
Fountain Valley, CA 92708-5159
Mailing address
12771 Newhope St
Garden Grove, CA 92840-5534
Phone (714) 878-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400020590 | Other | CT | MEDICARE PROVIDER NUMBER |
Other names 1
- Norrette Lohr-Thierry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10061 Talbert Ave
Suite 200
Fountain Valley, CA 92708-5123
Phone (714) 965-3622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15086 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Current | Accepting new patients |
Locations
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1063445609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12771 NEWHOPE ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405534",
"telephone_number": "714-878-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10061 TALBERT AVE",
"address_2": "200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085159",
"telephone_number": "714-878-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHR-THIERRY",
"first_name": "NORRETTE",
"middle_name": "T",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "D400020590",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NORRETTE",
"last_name": "LOHR-THIERRY",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.