Lawrence F Avery, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011855-1 Issued in NY

Practice address

17 Woodlake Rd Apt 4
Albany, NY 12203-3973

Phone

(518) 452-6891

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• On-Site Psychological Services PC

  • Clinical Psychologist
  • Ridgefield, CT
  • NPI 1992807887
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1497851299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLAKE RD APT 4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033973",
            "telephone_number": "518-452-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODLAKE RD APT 4",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033973",
            "telephone_number": "518-452-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "LAWRENCE",
        "middle_name": "F",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahdijah Austin
• Molly Austin, PA
• James Brian Avalo, CASAC LEVEL 2
• Amram Akiva Averick, MD
• Meredith Rae Avery-McDonald, LCS W
• Amanda Nicole Awad
• Hala Awad
• Mina Elishea Abdelaty Awad, MD
• Adamu Awak, MD
• Aftab A Awan, MD

• Clinical Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.