Individual provider Active NPI

Lawrence Kron, PH.D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1497793111
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8151 Issued in MA
Practice address
545 Concord Ave
Suite 320
Cambridge, MA 02138-1125
Phone
(617) 448-6237
Fax
(617) 714-3620
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8151 MA Primary
Clinical Psychologist 103TC0700X 6301005298 MI

Addresses

Primary practice location

545 Concord Ave
Suite 320
Cambridge, MA 02138-1125

Mailing address

11 Huron Ave
Cambridge, MA 02138-6705
Phone (617) 448-6237

Other identifiers 2

IdentifierTypeStateIssuer
OF33337OtherMIBLUE CROSS BLUE SHIELD
W06281OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040426000678 MA Practitioner - Clinical Psychologist 3476549254 Practice locations: Cambridge, MA
I20051018000568 MI Practitioner - Clinical Psychologist 3476549254 Practice locations: Sylvan Lake, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sylvan Lake, MI 48320
Phone (617) 448-6237

54 Concord Ave
Apt 202
Cambridge, MA 02138-2346
Phone (617) 448-6237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301005298MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1497793111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HURON AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021386705",
            "telephone_number": "617-448-6237",
            "fax_number": "617-714-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CONCORD AVE",
            "address_2": "SUITE 320",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381125",
            "telephone_number": "617-448-6237",
            "fax_number": "617-714-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRON",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8151",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OF33337",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.