Individual provider Active NPI

Paul E Laemmle, PH.D.

  • Psychologist
  • Hyannis, MA
National Provider Identifier
1124176078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6844 Issued in MA
Practice address
745 Falmouth Rd
Hyannis, MA 02601-2316
Phone
(508) 771-3130
Fax
(508) 771-3144
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6844 MA Primary

Addresses

Primary practice location

745 Falmouth Rd
Hyannis, MA 02601-2316

Mailing address

745 Falmouth Rd
Hyannis, MA 02601-2316
Phone (508) 771-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000048 MA Practitioner - Clinical Psychologist 2163475534 Practice locations: Yarmouth Port, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Doctor Lords Rd
Dennis, MA 02638-1609

923 Route 6a
Unit O
Yarmouth Port, MA 02675-2159

923 Route 6a O
Yarmouth Port, MA 02675-2159
Phone (774) 994-8328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6844MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Hearing Healthcare Centers of America LLC PastSince Jun 14, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124176078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012316",
            "telephone_number": "508-771-3130",
            "fax_number": "508-771-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012316",
            "telephone_number": "508-771-3130",
            "fax_number": "508-771-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAEMMLE",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.