Individual provider Active NPI

Michelle Lynn Lawrence, PHD

  • Psychologist
  • Lexington, MA
National Provider Identifier
1346771730
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS01587 Issued in RI
Practice address
110 Hartwell Ave Ste 330
Lexington, MA 02421-3118
Phone
(781) 551-0999
NPI assigned
Mar 27, 2017
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS01587 RI Primary

Addresses

Primary practice location

110 Hartwell Ave Ste 330
Lexington, MA 02421-3118

Mailing address

110 Hartwell Ave Ste 330
Lexington, MA 02421-3118
Phone (781) 551-0999

Other practice location 1

76 Bedford St
Suite 12
Lexington, MA 02420-4646
Phone (781) 861-6655

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

LicenseStateTypeSpecialty
PS01587RIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1346771730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARTWELL AVE STE 330",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213118",
            "telephone_number": "781-551-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARTWELL AVE STE 330",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213118",
            "telephone_number": "781-551-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Bedford St",
            "address_2": "Suite 12",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024204646",
            "country_code": "US",
            "telephone_number": "781-861-6655",
            "fax_number": "781-861-6654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.