Active NPI
Ann Connor Lawrence, PH.D.
- Clinical Psychologist
- Elm Grove, WI
National Provider Identifier
1669489167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2103-57
- Practice address
- 12900 Lee CT
Elm Grove, WI 53122-1444 - Phone
- (414) 431-3344
- Fax
- (414) 434-1950
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2103-57 | WI | Primary |
Addresses
Primary practice location
12900 Lee CT
Elm Grove, WI 53122-1444
Mailing address
12900 Lee CT
Elm Grove, WI 53122-1444
Phone (414) 431-3344
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 |
|---|---|---|---|
| 2103-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ann Lawrence, LLC | Psychologist | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1669489167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 LEE CT",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531221444",
"telephone_number": "414-431-3344",
"fax_number": "414-434-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 LEE CT",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531221444",
"telephone_number": "414-431-3344",
"fax_number": "414-434-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "ANN",
"middle_name": "CONNOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2103-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.