Active NPI
Robert A Moverman, PH.D
- Clinical Psychologist
- Lawrence, MA
National Provider Identifier
1649267030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3261
- Practice address
- 354 Merrimack St
Lawrence, MA 01843-1754 - Phone
- (978) 687-2321
- Fax
- (978) 722-7287
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 423 | NH | |
| Clinical Psychologist | 103TC0700X | 3261 | MA | Primary |
Addresses
Primary practice location
354 Merrimack St
Lawrence, MA 01843-1754
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other practice location 1
10 George St Ste 300
Lowell, MA 01852-2293
Phone (978) 687-2321
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70001417 | Other | MA | THP |
| 623543 | Other | NH | BEHAVIORAL HEALTH NETWORK |
| 1167805 | Other | MA | FIRST HEALTH |
| 0603543Y0NH03 | Other | NH | ANTHEM |
| 30420928 | Medicaid | NH | |
| S017593 | Other | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1649267030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-722-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-722-7287"
}
],
"practiceLocations": [
{
"address_1": "10 George St Ste 300",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018522293",
"country_code": "US",
"telephone_number": "978-687-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOVERMAN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "423",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "70001417",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH NETWORK",
"identifier": "623543",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1167805",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0603543Y0NH03",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30420928",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "S017593",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.