Laura K Adamic, PSY.D.
Individual provider Active NPI Clinical Psychologist · Jamaica Plain, MA
NPI 1104256494 · NPPES record last updated Apr 6, 2016
Key facts
- NPI
- 1104256494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 10221 (MA)
- Practice address
- 116 Moss Hill Rd
Jamaica Plain, MA 02130-3009 - Phone
- (617) 834-2647
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10221 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adamic Psychotherapy, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10221 | MA | Yes |
Addresses
Primary practice location
116 Moss Hill Rd
Jamaica Plain, MA 02130-3009
Mailing address
116 Moss Hill Rd
Jamaica Plain, MA 02130-3009
Phone (617) 834-2647
Other providers in Jamaica Plain, MA
- Ricardo Abelard
- Carol Aboud
- Chidi C Achebe
- Rebecca Acome
- Acuherbs Studio
- Christian Adams
- Hayley Jean Adamuska
- Guled Adan
- Damus Adeclat
- Sharon Gwen Adelman
All providers in Jamaica Plain, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.