Active NPI
Lori Elizabeth Azzara, PSY.D.
- Clinical Neuropsychologist
- Stoughton, MA
National Provider Identifier
1295092641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 9436
- Practice address
- 7 Cabot PL
Stoughton, MA 02072-4631 - Phone
- (508) 930-3553
- Fax
- (877) 509-2367
- NPI assigned
- Apr 23, 2012
- 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 Neuropsychologist | 103G00000X | 9436 | MA | Primary |
Addresses
Primary practice location
7 Cabot PL
Stoughton, MA 02072-4631
Mailing address
20 Roche Brothers Way
Suite 6-245
North Easton, MA 02356-1030
Phone (508) 930-3553
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120710000442 | MA | Practitioner - Clinical Psychologist | 5799940169 | Practice locations: Stoughton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Cabot PL
Suite 9
Stoughton, MA 02072-4631
Phone (508) 930-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9436 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1295092641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ROCHE BROTHERS WAY",
"address_2": "SUITE 6-245",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561030",
"telephone_number": "508-930-3553",
"fax_number": "877-509-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CABOT PL",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724631",
"telephone_number": "508-930-3553",
"fax_number": "877-509-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZZARA",
"first_name": "LORI",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "9436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.