Active NPI
Lauren Elizabeth Peterson
- Group Psychotherapy Psychologist
- Middleboro, MA
National Provider Identifier
1316570369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Practice address
- 52 Oak St
Middleboro, MA 02346-2078 - Phone
- (774) 213-8400
- NPI assigned
- Feb 18, 2020
- Last updated
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | NU | Primary |
Addresses
Primary practice location
52 Oak St
Middleboro, MA 02346-2078
Mailing address
52 Oak St
Middleboro, MA 02346-2078
Phone (774) 213-8400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tier | Health Information Exchange (HIE) | |
| CONNECT URL | tier | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1316570369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 OAK ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462078",
"telephone_number": "774-213-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 OAK ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462078",
"telephone_number": "774-213-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tier",
"affiliation": "N",
"endpointDescription": "tier",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "52 Oak St",
"city": "Middleboro",
"state": "MA",
"country_code": "US",
"postal_code": "023462078",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tier",
"affiliation": "N",
"endpointDescription": "tier",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "52 Oak St",
"city": "Middleboro",
"state": "MA",
"country_code": "US",
"postal_code": "023462078",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.