Active NPI
Lori Anne Meyerson, PH.D.
- Clinical Psychologist
- Providence, RI
National Provider Identifier
1235296724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00840
- Practice address
- 245 Waterman St
Suite 201
Providence, RI 02906-5215 - Phone
- (401) 421-4680
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00840 | RI | Primary |
Addresses
Primary practice location
245 Waterman St
Suite 201
Providence, RI 02906-5215
Mailing address
245 Waterman St
Suite 201
Providence, RI 02906-5215
Phone (401) 421-4680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29191-0 | Other | RI | BCBS OF RI PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00840 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1235296724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 WATERMAN ST",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065215",
"telephone_number": "401-421-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 WATERMAN ST",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065215",
"telephone_number": "401-421-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERSON",
"first_name": "LORI",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI PROVIDER NO.",
"identifier": "29191-0",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.