Active NPI
Laura Jane Austin
- Clinical Child & Adolescent Psychologist
- Concord, MA
National Provider Identifier
1740894484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 86 Baker Avenue Ext Ste 301
Concord, MA 01742-2132 - Phone
- (978) 341-4992
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 8, 2023
- 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 Child & Adolescent Psychologist | 103TC2200X | NU | Primary |
Addresses
Primary practice location
86 Baker Avenue Ext Ste 301
Concord, MA 01742-2132
Mailing address
41 Garrison Rd
Brookline, MA 02445-4445
Other practice location 1
747 Main St Ste 324
Concord, MA 01742-3329
Phone (978) 405-2521 ext. 28
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Comprehensive Neuropsychological Services | Current | Accepting new patients |
Locations
86 Baker Avenue Ext
Ste 301
Concord, MA 01742
Phone (978) 341-4992
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.
-
- Clinical Neuropsychologist
- Concord, MA
- NPI 1023769296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1740894484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 GARRISON RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 BAKER AVENUE EXT STE 301",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422132",
"telephone_number": "978-341-4992"
}
],
"practiceLocations": [
{
"address_1": "747 Main St Ste 324",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017423329",
"country_code": "US",
"telephone_number": "978-405-2521 x28",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "LAURA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.