Active NPI
Myra Lall, M.A.
- Psychologist
- New Bedford, MA
National Provider Identifier
1659306512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 383
- Practice address
- 1 Welby Rd
New Bedford, MA 02745-1137 - Phone
- (508) 558-9700
- Fax
- (508) 676-0935
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 383 | MA | Primary |
Addresses
Primary practice location
1 Welby Rd
New Bedford, MA 02745-1137
Mailing address
PO Box 186
Somerset, MA 02726-0186
Phone (508) 558-9700
Other practice location 1
1B County Rd
Mattapoisett, MA 02739-1584
Phone (508) 558-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0502715 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071121000509 | MA | Practitioner - Clinical Psychologist | 3476641630 | Practice locations: Mattapoisett, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 B County Rd
Mattapoisett, MA 02739-1584
Phone (508) 675-5578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706313600000",
"number": "1659306512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027260186",
"telephone_number": "508-558-9700",
"fax_number": "508-676-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WELBY RD",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027451137",
"telephone_number": "508-558-9700",
"fax_number": "508-676-0935"
}
],
"practiceLocations": [
{
"address_1": "1B County Rd",
"address_purpose": "LOCATION",
"city": "Mattapoisett",
"state": "MA",
"postal_code": "027391584",
"country_code": "US",
"telephone_number": "508-558-9700",
"fax_number": "508-646-0935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALL",
"first_name": "MYRA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2024-01-27",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502715",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.