Laura Seely Derr, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6680 Issued in MA

Practice address

1017 Turnpike St.
Suite 12C
Canton, MA 02021-2847

Phone

(781) 713-4707

Fax

(781) 713-4708

NPI assigned

Jul 11, 2006

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laura Derr, PSYD, PC

  • Clinical Psychologist
  • Canton, MA
  • NPI 1669627444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1285668400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEPONSET AVE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312123",
            "telephone_number": "781-713-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST.",
            "address_2": "SUITE 12C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212847",
            "telephone_number": "781-713-4707",
            "fax_number": "781-713-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR",
        "first_name": "LAURA",
        "middle_name": "SEELY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524069",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO PPO FEDERAL",
            "identifier": "W05804",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HMO",
            "identifier": "798610",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Delaney, LCSW
• Catherine Demassi
• Sheila Helen Demelle, LICSW
• Melissa Christine Dempster
• Lillian Derosa, PMHNP-BC, BSN, RN
• Maureen Dervan
• Michael Desmond, PHARMD
• Christine Veronica Devin, PTA
• Jessica Dias, FNP
• Karen Lee Dick, PHD, NP

• Clinical Psychologist in Canton, MA
• Providers in Canton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.