Miriam Lorrain PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MIRIAM LORRAIN PLLC

Practice address

944 San Lucia Dr SE
East Grand Rapids, MI 49506-3455

Phone

(410) 802-0002

NPI assigned

Nov 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Goldstein Lorrain, PHDNPI 1699238121

Title

Organizer

Phone

(410) 802-0002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Goldstein Lorrain, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1699238121

  Clinical, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1134945215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 SAN LUCIA DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 SAN LUCIA DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063455",
            "telephone_number": "410-802-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM LORRAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "LORRAIN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "GOLDSTEIN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "410-802-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in East Grand Rapids, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.