Individual provider Active NPI

Laura Palmo, PSY.D

  • Clinical Psychologist
  • Niagara Falls, NY
National Provider Identifier
1811252059
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020375 Issued in NY
Practice address
419 Walnut Ave
Niagara Falls, NY 14301-1761
Phone
(716) 830-5787
NPI assigned
Jul 12, 2012
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 020375 NY Primary

Addresses

Primary practice location

419 Walnut Ave
Niagara Falls, NY 14301-1761

Mailing address

419 Walnut Ave
Niagara Falls, NY 14301-1761
Phone (716) 830-5787

Other practice location 1

101 Lang Blvd Ste 1
Grand Island, NY 14072-1601
Phone (716) 830-5787

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140326000314 NY Practitioner - Clinical Psychologist 5395976849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Lang Blvd
Suite 1
Grand Island, NY 14072-1601
Phone (716) 830-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmo Psychology Services, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Louis P Labarber PHD LCSW PC CurrentSince Nov 6, 2017 Accepting new patients

Locations

101 Lang Blvd
#1
Grand Island, NY 14072
Phone (716) 219-8494

419 Walnut Ave
Niagara Falls, NY 14301
Phone (716) 285-1904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1811252059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WALNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011761",
            "telephone_number": "716-830-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WALNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011761",
            "telephone_number": "716-830-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Lang Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "140721601",
            "country_code": "US",
            "telephone_number": "716-830-5787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMO",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.