Individual provider Active NPI

Laurie Roehrich, PHD

  • Clinical Psychologist
  • Indiana, PA
National Provider Identifier
1386967834
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015069 Issued in PA
Practice address
Indiana University of Pennsylvania
Center for Applied Psychology, Uhler Hall, #210
Indiana, PA 15705-0001
Phone
(724) 357-6228
Fax
(724) 357-3817
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015069 PA Primary

Addresses

Primary practice location

Indiana University of Pennsylvania
Center for Applied Psychology, Uhler Hall, #210
Indiana, PA 15705-0001

Mailing address

Indiana University of Pennsylvania
Department of Psychology, Uhler Hall, #203
Indiana, PA 15705-0001
Phone (724) 357-6228

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
PS015069PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1386967834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INDIANA UNIVERSITY OF PENNSYLVANIA",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, UHLER HALL, #203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157050001",
            "telephone_number": "724-357-6228",
            "fax_number": "724-357-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDIANA UNIVERSITY OF PENNSYLVANIA",
            "address_2": "CENTER FOR APPLIED PSYCHOLOGY, UHLER HALL, #210",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157050001",
            "telephone_number": "724-357-6228",
            "fax_number": "724-357-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHRICH",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.