Active NPI
Lamont Wayne Larry, PH.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1801915228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1000110
- Practice address
- 1629 K St NW
Suite 300
Washington, DC 20006-1602 - Phone
- (301) 792-3703
- NPI assigned
- Mar 28, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000110 | DC | Primary |
Addresses
Primary practice location
1629 K St NW
Suite 300
Washington, DC 20006-1602
Mailing address
4515 Willard Ave
# 802 South
Chevy Chase, MD 20815-3622
Phone (301) 718-0873
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801915228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 WILLARD AVE",
"address_2": "# 802 SOUTH",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153622",
"telephone_number": "301-718-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW",
"address_2": "SUITE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061602",
"telephone_number": "301-792-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRY",
"first_name": "LAMONT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.