Active NPI
Lawrence Aloysius Hall
- Psychologist
- West Orange, NJ
National Provider Identifier
1770620965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100093900
- Practice address
- 28 Mullarkey Dr
West Orange, NJ 07052-2270 - Phone
- (973) 325-8118
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100093900 | NJ | Primary |
Addresses
Primary practice location
28 Mullarkey Dr
West Orange, NJ 07052-2270
Mailing address
PO Box 7043
West Orange, NJ 07052-7043
Phone (973) 325-8118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35S100093900 | Other | NJ | PSYCHOLOGY LIC. NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20050421000038 | NJ | Practitioner - Clinical Psychologist | 4789622663 | Practice locations: West Orange, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
28 Mullarkey Dr
West Orange, NJ 07052-2270
Phone (973) 325-8118
PO Box
Suite 7043
West Orange, NJ 07052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100093900 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1770620965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7043",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070527043",
"telephone_number": "973-325-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MULLARKEY DR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522270",
"telephone_number": "973-325-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "LAWRENCE",
"middle_name": "ALOYSIUS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100093900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LIC. NO.",
"identifier": "35S100093900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.