Individual provider Active NPI

Lawrence Robert Griffin, PH.D.

  • Clinical Psychologist
  • Phila, PA
National Provider Identifier
1528001971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002036L Issued in PA
Practice address
1800 JFK Blvd
Suite 605
Phila, PA 19103-7421
Phone
(215) 640-0600
Fax
(215) 640-0914
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS002036L PA Primary

Addresses

Primary practice location

1800 JFK Blvd
Suite 605
Phila, PA 19103-7421

Mailing address

1800 JFK Blvd
Suite 605
Philadelphia, PA 19103-7421
Phone (215) 640-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000183 PA Practitioner - Clinical Psychologist 5698941771 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N 18 St
Suite 300
Phildelphia, PA 19103-2733

2 Logan SQ
Suite 300
Philadelphia, PA 19103-2733
Phone 2156400600201

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528001971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JFK BLVD",
            "address_2": "SUITE 605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JFK BLVD",
            "address_2": "SUITE 605",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LAWRENCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002036L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.