Lori Tagger
Individual provider Active NPI Clinical Psychologist · Saint Charles, MO
NPI 1154412708 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154412708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2003023870 (MO)
- Practice address
- 58 Portwest CT
Saint Charles, MO 63303-5985 - Phone
- (636) 916-5800
- Fax
- (636) 916-0146
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
601 Abbot Rd
Suite 103
East Lansing, MI 48823-3366
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202001365 | MI | Practitioner - Clinical Psychologist | 5698726529 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Day Counseling Consulting and Community Services | Current |
Accepting new patients | |
| David a. Lipsitz, PH.D., Inc | Clinical | Past |
Accepting new patients |
Locations
4710 W Saginaw Hwy
Ste 1
Lansing, MI 48917
Phone (517) 816-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2003023870 | MO | Yes |
Addresses
Primary practice location
58 Portwest CT
Saint Charles, MO 63303-5985
Mailing address
58 Portwest CT
Saint Charles, MO 63303-5985
Phone (636) 916-5800
Other providers in Saint Charles, MO
- Paul David Swanson
- Kaley Swaringin
- Valicia L Swingler
- Taab, LLC
- Brent Tackitt
- Tailored Concierge Service L.L.C.
- Taken by Faith LLC
- Taken by Faith LLC
- Taken by Faith LLC
- Stephanie Taksel
All providers in Saint Charles, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.