Active NPI
Katie Lee Loatman, PHD
- Clinical Psychologist
- Belmont, MA
National Provider Identifier
1679095558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10786
- Practice address
- 115 Mill St
Belmont, MA 02478 - Phone
- (617) 855-2932
- NPI assigned
- Jul 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10786 | MA | Primary |
Addresses
Primary practice location
115 Mill St
Belmont, MA 02478
Mailing address
57 Bedford St Ste 230
Lexington, MA 02420-4502
Other practice location 1
57 Bedford St Ste 230
Lexington, MA 02420-4502
Phone (914) 772-6592
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10786 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1679095558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BEDFORD ST STE 230",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "02478",
"telephone_number": "617-855-2932"
}
],
"practiceLocations": [
{
"address_1": "57 Bedford St Ste 230",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "MA",
"postal_code": "024204502",
"country_code": "US",
"telephone_number": "914-772-6592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOATMAN",
"first_name": "KATIE LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.