Emily Lauren Putnam, PHD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008137 Issued in VA

Practice address

3040 Avemore Square PL
Charlottesville, VA 22911-7228

Phone

(434) 220-0089

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Compass Youth Services

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1285992743
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1417636473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 AVEMORE SQUARE PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117228",
            "telephone_number": "919-523-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AVEMORE SQUARE PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117228",
            "telephone_number": "434-220-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "PHD, LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visespong Punyanitya, M.D.
• Benjamin W. Purow, M.D.
• Leah M Purpura, ED.S.
• Akhtar Purvez, M.D.
• Abigail Putnam, RDN
• Beth Quatrara
• Suzanne Queheillalt, CNS
• Mark S. Quigg
• Carson Quigley, BS
• Kate Quigley, MS, CCC-SLP

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.