Lawrence M Ross, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001655 Issued in VA

Practice address

4164 Virginia Beach Blvd Ste 202
Virginia Beach, VA 23452-1762

Phone

(757) 623-2228

Fax

(757) 623-7186

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

GHR Center for Opioid Addiction Treatment and Recovery LLCGroup PAC ID 5092082032, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• GHR Center for Opioid Addiction Treatment and Recovery LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1265970263
  Medicare reassignment Care Compare group NPD
• Affiliated Clinical Therapists

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1467671446
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1811905250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "757-623-2228",
            "fax_number": "757-623-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "757-623-2228",
            "fax_number": "757-623-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7728476",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Jay Ross, PAC
• Erin Ross
• Gemma Nicole Ross, RBT
• John Joseph Ross, D.D.S.
• Lauren Nicole Ross
• Nicolas Ross
• Ronald A. Ross, LCSW
• Virginia Paige Ross
• Laura Michelle Rossin, FNP-C
• Ritchie O Rosso, MD

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.