Active NPI
Grete Marie Laine, MS
- Psychoanalyst
- Riverside, CT
National Provider Identifier
1275749327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- Practice address
- 36 Welwyn Rd
Riverside, CT 06878-2413 - Phone
- (203) 637-2134
- Fax
- (203) 637-1501
- NPI assigned
- May 15, 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | Primary |
Addresses
Primary practice location
36 Welwyn Rd
Riverside, CT 06878-2413
Mailing address
36 Welwyn Rd
Riverside, CT 06878-2413
Phone (203) 637-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO21595 | Other | NY | REGISTRATION NUMBER NAAP |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275749327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WELWYN RD",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068782413",
"telephone_number": "203-637-2134",
"fax_number": "203-637-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WELWYN RD",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068782413",
"telephone_number": "203-637-2134",
"fax_number": "203-637-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAINE",
"first_name": "GRETE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION NUMBER NAAP",
"identifier": "PO21595",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.