NPIMap

Organization Active NPI

Lafayette Counseling Center, LLC

  • Clinical Neuropsychologist
  • Boxford, MA
National Provider Identifier
1083745582
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2229 Issued in MA
Legal business name
LAFAYETTE COUNSELING CENTER, LLC
Practice address
87 Washington St
Boxford, MA 01921-1240
Phone
(978) 352-8269
NPI assigned
Mar 8, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Diane Roberts StolerNPI 1003965534
Title
Dr
Phone
(978) 352-8269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2229 MA Primary
Exercise & Sports Psychologist 103TE1100X 2229 MA
Health Service Psychologist 103TH0100X 2229 MA
Rehabilitation Psychologist 103TR0400X 2229 MA

Addresses

Primary practice location

87 Washington St
Boxford, MA 01921-1240

Mailing address

87 Washington St
Boxford, MA 01921-1240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1083745582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WASHINGTON ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WASHINGTON ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211240",
            "telephone_number": "978-352-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "STOLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "978-352-8269",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "2229",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "MA",
            "license": "2229",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "2229",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MA",
            "license": "2229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boxford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.