Active NPI
Andrea Spink Lapomardo, PSY.D.
- Clinical Psychologist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11213
- Practice address
- 875 Massachusetts Ave Ste 84
Cambridge, MA 02139-3071 - Phone
- (617) 354-4450
- NPI assigned
- Mar 29, 2017
- 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 | 11213 | MA | Primary |
Addresses
Primary practice location
875 Massachusetts Ave Ste 84
Cambridge, MA 02139-3071
Mailing address
875 Massachusetts Ave Ste 84
Cambridge, MA 02139-3071
Other names 1
- Andrea Spink
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
170 Farm Hill Rd
Leominster, MA 01453-7004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11213 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients |
Locations
40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847
575 Boylston St
Ste 2
Boston, MA 02116
Phone (617) 675-1700
875 Massachusetts Ave
Ste 84
Cambridge, MA 02139
Phone (617) 494-1650
Interoperability endpoints
- andrea.lapomardo.1@28623.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Counseling Psychologist
- Newburyport, MA
- NPI 1831970904
-
- Counseling Psychologist
- Boston, MA
- NPI 1235811787
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1679005672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVE STE 84",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVE STE 84",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393071",
"telephone_number": "617-354-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPOMARDO",
"first_name": "ANDREA",
"middle_name": "SPINK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "SPINK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.