Andrea Lavigne, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01453 Issued in RI

Practice address

24 Salt Pond Rd
D3
Wakefield, RI 02879-4314

Phone

(401) 789-2306

Fax

(401) 789-2307

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Child and Family Psychiatry, Inc.

  dba LifeStance Health

  • Psychiatry Physician
  • Warwick, RI
  • NPI 1760863229
  Medicare reassignment
• South County Behavioral Medicine Inc

  • Clinical Psychologist
  • Wakefield, RI
  • NPI 1255592044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1780085563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "D3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-789-2306",
            "fax_number": "401-789-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "D3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-789-2306",
            "fax_number": "401-789-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "ANDREA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Randy Kulman, PH. D.
• Renee Lamontagne, MHC
• Abby Kolb Landers, RN
• Chelsey Kai Laterra, LCDP
• Jason Eric Laurie, MS, LMFT
• Courtney Lin Lavigne, DMD
• Donna J Lavimodiere, M.ED
• Julia Danielle Lawrence
• Christina Leahy, PA-C
• Joslin B. Leasca, FNP

• Clinical Psychologist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.

Verify at the official NPI Registry.