Active NPI
Francis Clouse, EDD
- Counseling Psychologist
- Lawrence, MA
National Provider Identifier
1811056468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3458
- Practice address
- 15 Union St
Lawrence, MA 01840-1866 - Phone
- (978) 557-2737
- Fax
- (978) 557-9231
- NPI assigned
- Dec 8, 2006
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 3458 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3458 | MA | |
| Clinical Psychologist | 103TC0700X | 3458 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3458 | MA | |
| Exercise & Sports Psychologist | 103TE1100X | 3458 | MA | |
| Family Psychologist | 103TF0000X | 3458 | MA | |
| Health Service Psychologist | 103TH0100X | 3458 | MA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 3458 | MA | |
| Psychoanalysis Psychologist | 103TP0814X | 3458 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | 3458 | MA | |
| Rehabilitation Psychologist | 103TR0400X | 3458 | MA | |
| Counseling Psychologist | 103TC1900X | 3458 | MA | Primary |
Addresses
Primary practice location
15 Union St
Lawrence, MA 01840-1866
Mailing address
21 River Rd
Merrimac, MA 01860-2229
Phone (978) 346-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0513903 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3458 | MA | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1811056468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 RIVER RD",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602229",
"telephone_number": "978-346-7898",
"fax_number": "978-346-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 UNION ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401866",
"telephone_number": "978-557-2737",
"fax_number": "978-557-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSE",
"first_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2021-08-01",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "MA",
"license": "3458",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "3458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0513903",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.