Individual provider Active NPI

Laurence James Stybel, ED.D.

  • Cognitive & Behavioral Psychologist
  • Wayland, MA
National Provider Identifier
1780183277
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
2338 Issued in MA
Practice address
27 Bayfield Rd
Wayland, MA 01778-4205
Phone
(617) 594-7627
Fax
(508) 655-1754
NPI assigned
Feb 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X 2338 MA Primary

Addresses

Primary practice location

27 Bayfield Rd
Wayland, MA 01778-4205

Mailing address

27 Bayfield Rd
Wayland, MA 01778-4205
Phone (617) 594-7627

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

State licenses

LicenseStateTypeSpecialty
2338MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin Behavioral Health Ma PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1780183277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BAYFIELD RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784205",
            "telephone_number": "617-594-7627",
            "fax_number": "508-655-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BAYFIELD RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784205",
            "telephone_number": "617-594-7627",
            "fax_number": "508-655-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYBEL",
        "first_name": "LAURENCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.