Active NPI
Ronald Verle Norris, MD
- Psychiatry Physician
- North Andover, MA
National Provider Identifier
1679796882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31180
- Practice address
- 451 Andover Street
#301
North Andover, MA 01845-5036 - Phone
- (508) 454-5379
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31180 | MA | Primary |
Addresses
Primary practice location
451 Andover Street
#301
North Andover, MA 01845-5036
Mailing address
PO Box 340
Andover, MA 01810-0340
Phone (508) 454-5379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18604 | Other | MA | BCBS |
| 485326 | Other | MA | TRICARE |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31180 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Psychiatry | Current | Accepting new patients |
| Moss Behavioral Health Treatment, Inc. | Past | Accepting new patients |
Locations
22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500
Organizations & group practices 2
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.
-
dba LifeStance Health
- Psychologist
- Norwood, MA
- NPI 1912987181
Psychiatry
-
- Community/Behavioral Health Agency
- Billerica, MA
- NPI 1083106520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1679796882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018100340",
"telephone_number": "508-454-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ANDOVER STREET",
"address_2": "#301",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455036",
"telephone_number": "508-454-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "RONALD",
"middle_name": "VERLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "31180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18604",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "485326",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.