Individual provider Active NPI

Marie Lamto, PSY.D.

  • Adult Development & Aging Psychologist
  • Cambridge, MA
National Provider Identifier
1831211853
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
8525 Issued in MA
Practice address
872 Mass Ave Ste 2-1
Cambridge, MA 02139-3072
Phone
(617) 645-0505
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8525 MA
Clinical Child & Adolescent Psychologist 103TC2200X 8525 MA
Adult Development & Aging Psychologist 103TA0700X 8525 MA Primary

Addresses

Primary practice location

872 Mass Ave Ste 2-1
Cambridge, MA 02139-3072

Mailing address

872 Mass Ave Ste 2-1
Cambridge, MA 02139-3072
Phone (617) 645-0505

Other practice location 1

1234 Broadway
Somerville, MA 02144-1703
Phone (617) 645-0505

Other identifiers 4

IdentifierTypeStateIssuer
W06567OtherMABCBS MASSACHUSETTS
60054OtherMACHICKERING
W06567OtherBCBS
7987851OtherMAAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Cambridge
CONNECT URL Cambridge Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8525MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1831211853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MASS AVE STE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393072",
            "telephone_number": "617-645-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MASS AVE STE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393072",
            "telephone_number": "617-645-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Broadway",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021441703",
            "country_code": "US",
            "telephone_number": "617-645-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMTO",
        "first_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8525",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "8525",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MA",
            "license": "8525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MASSACHUSETTS",
            "identifier": "W06567",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHICKERING",
            "identifier": "60054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W06567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7987851",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cambridge",
            "affiliation": "N",
            "address_1": "872 Mass Ave Ste 2-1",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021393072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cambridge",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cambridge",
            "address_1": "872 Mass Ave Ste 2-1",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021393072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.