Active NPI
Laura Emily De la Torre Bueno, PSY.D.
- Clinical Psychologist
- Somerville, MA
National Provider Identifier
1760464085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6112
- Practice address
- 21 Spring Hill Ter
Somerville, MA 02143-1514 - Phone
- (617) 776-8679
- Fax
- (617) 623-1234
- NPI assigned
- Nov 14, 2005
- Last updated
- Jul 13, 2026
- 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 | 6112 | MA | Primary |
Addresses
Primary practice location
21 Spring Hill Ter
Somerville, MA 02143-1514
Mailing address
21 Spring Hill Ter
Somerville, MA 02143-1514
Phone (617) 776-8679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005781235 | Other | MA | AETNA |
| V352G | Other | NY | EMPIRE BLUE CROSS BLUE SH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120213000099 | MA | Practitioner - Clinical Psychologist | 0345407847 | Practice locations: Somerville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21 Rev Nazareno Properzi Way
Suite J
Somerville, MA 02143-3222
Phone (617) 776-8679
21 Spring Hill Ter
Suite 2
Somerville, MA 02143-1514
Phone (617) 776-8679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6112 | MA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760464085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SPRING HILL TER",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431514",
"telephone_number": "617-776-8679",
"fax_number": "617-623-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPRING HILL TER",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431514",
"telephone_number": "617-776-8679",
"fax_number": "617-623-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE BUENO",
"first_name": "LAURA",
"middle_name": "EMILY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005781235",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "V352G",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.