Lila L Annaloro, EDD
Individual provider Active NPI Psychologist · Brockton, MA
NPI 1609953645 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609953645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4639 (MA)
- Practice address
- 1350 Belmont Street
Suite 103
Brockton, MA 02301-4430 - Phone
- (508) 580-2137
- Fax
- (508) 559-6143
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1342 Belmont St
Suite 103
Brockton, MA 02301-4404
1342 Belmont St
Suite 103
Brockton, MA 02301-4437
Phone (508) 584-3468
154 E Central St
Suite 201
Natick, MA 01760-3629
Phone (508) 358-2420
426 Torrey St
Brockton, MA 02301-4654
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000276 | MA | Practitioner - Clinical Psychologist | 6901073097 | Practice locations: Natick, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4639 | MA | Yes |
Addresses
Primary practice location
1350 Belmont Street
Suite 103
Brockton, MA 02301-4430
Mailing address
1350 Belmont Street
Suite 103
Brockton, MA 02301-4430
Phone (508) 580-2137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408061 | Other | MA | TAHP |
| W04506 | Other | MA | BCBS |
Other providers in Brockton, MA
- Anesthetics of Brockton, PC
- Anew Life LLC
- Radhika Angara
- Angelic Home Care Services LLC
- Jennfier Kassandra Angrand
- Natacha Antoine Bernadeau
- Daberny Antoine
- Kristen Ann Antoine
- Ruthe Antoine
- Samora F Antoine
All providers in Brockton, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.