Organization Active NPI

John Edward Lamothe PHD Psychologist PC

  • Clinical Psychologist
  • Hopewell JCT, NY
National Provider Identifier
1811002157
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010594-1 Issued in NY
Legal business name
JOHN EDWARD LAMOTHE PHD PSYCHOLOGIST PC
Practice address
124 Dakota Dr
Hopewell JCT, NY 12533-5866
Phone
(845) 227-6918
Fax
(845) 227-4835
NPI assigned
Aug 19, 2006
Last updated
Jan 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
John Edward Lamothe, PH.D.NPI 1477579522
Title
President
Phone
(845) 227-6918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 010594-1 NY Primary

Addresses

Primary practice location

124 Dakota Dr
Hopewell JCT, NY 12533-5866

Mailing address

124 Dakota Dr
Hopewell JCT, NY 12533-5866
Phone (845) 227-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000628 NY Part B Supplier - Clinic/Group Practice 8426052937 Receives reassigned benefits from 1 practitioner
Practice locations: Hopewell Junction, NY; Poughkeepsie, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1811002157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DAKOTA DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125335866",
            "telephone_number": "845-227-6918",
            "fax_number": "845-227-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DAKOTA DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125335866",
            "telephone_number": "845-227-6918",
            "fax_number": "845-227-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN EDWARD LAMOTHE PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LAMOTHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-227-6918",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell JCT, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.