Active NPI
Lorraine Louise Laferriere, PHD
- Psychologist
- Hinesville, GA
National Provider Identifier
1386674497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003892
- Practice address
- 208 S Topi TRL
Hinesville, GA 31313-5706 - Phone
- (912) 737-2939
- NPI assigned
- Jul 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301003144 | MI | |
| Psychologist | 103T00000X | PSY003892 | GA | Primary |
Addresses
Primary practice location
208 S Topi TRL
Hinesville, GA 31313-5706
Mailing address
208 S Topi TRL
Hinesville, GA 31313-5706
Phone (912) 737-2939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003892 | GA | MD | Psychologist |
| 6301003144 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCS of Michigan LLC | Psychologist | Current | Accepting new patients |
| Northeast Michigan Community Mental Health Authority | Past | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients | |
| Alcona Citizens for Health, Inc. | Past | Accepting new patients |
Locations
3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102
39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000
5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Novi, MI
- NPI 1164816195
-
- Federally Qualified Health Center (FQHC)
- Alpena, MI
- NPI 1750159158
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
-
- Community/Behavioral Health Agency
- Alpena, MI
- NPI 1144378381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1386674497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S TOPI TRL",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313135706",
"telephone_number": "912-737-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S TOPI TRL",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313135706",
"telephone_number": "912-737-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFERRIERE",
"first_name": "LORRAINE",
"middle_name": "LOUISE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301003144",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.