Organization Active NPI

Lagom Psychology, PLLC

  • Clinical Psychologist
  • Yarmouth, ME
National Provider Identifier
1134769391
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAGOM PSYCHOLOGY, PLLC
Practice address
106 Lafayette St Ste 2B
Yarmouth, ME 04096-6125
Phone
(207) 409-6626
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Susan Elisabeth Palmgren, PHD
Title
Clinical Psychologist
Phone
(207) 409-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

106 Lafayette St Ste 2B
Yarmouth, ME 04096-6125

Mailing address

106 Lafayette St Ste 2B
Yarmouth, ME 04096-6125
Phone (207) 409-6626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1134769391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LAFAYETTE ST STE 2B",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966125",
            "telephone_number": "207-409-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAFAYETTE ST STE 2B",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966125",
            "telephone_number": "207-409-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGOM PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "PALMGREN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-409-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.