Active NPI
Marisa Anne Laviola, PH.D.
- Clinical Psychologist
- Salem, NH
National Provider Identifier
1659474500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 601
- Practice address
- 87 Stiles Rd. (Salem Psychological Associates)
Suite 106
Salem, NH 03079 - Phone
- (603) 893-7700
- Fax
- (603) 893-7331
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 601 | NH | Primary |
| Clinical Psychologist | 103TC0700X | 5073 | MA |
Addresses
Primary practice location
87 Stiles Rd. (Salem Psychological Associates)
Suite 106
Salem, NH 03079
Mailing address
87 Stiles Rd. (Salem Psychological Associates)
Suite 106
Salem, NH 03079
Phone (603) 893-7700
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 |
|---|---|---|---|
| 601 | NH | MD | Clinical Psychologist |
| 5073 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Psychological Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Salem, NH
- NPI 1780795815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659474500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 STILES RD. (SALEM PSYCHOLOGICAL ASSOCIATES)",
"address_2": "SUITE 106",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-7700",
"fax_number": "603-893-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 STILES RD. (SALEM PSYCHOLOGICAL ASSOCIATES)",
"address_2": "SUITE 106",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-7700",
"fax_number": "603-893-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIOLA",
"first_name": "MARISA",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "601",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "5073",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.