Organization Active NPI

Lawrence Littell DO, PHD, PC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Watertown, NY
National Provider Identifier
1891163291
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
195517 Issued in NY
Legal business name
LAWRENCE LITTELL DO, PHD, PC
Practice address
18564 US Route 11
Suite 2
Watertown, NY 13601-5900
Phone
(315) 786-0464
Fax
(315) 782-2577
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Lawrence M Littell
Title
DO
Phone
(315) 786-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X 195517 NY Primary

Addresses

Primary practice location

18564 US Route 11
Suite 2
Watertown, NY 13601-5900

Mailing address

4567 Crossroads Park Dr
Liverpool, NY 13088-3589
Phone (315) 786-0464

Other identifiers 1

IdentifierTypeStateIssuer
195517OtherNYLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

18564 US Route 11
Ste 2
Watertown, NY 13601
Phone (315) 786-0464

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1891163291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-786-0464",
            "fax_number": "315-782-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US ROUTE 11",
            "address_2": "SUITE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015900",
            "telephone_number": "315-786-0464",
            "fax_number": "315-782-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE LITTELL DO, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "LITTELL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "315-786-0464",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NY",
            "license": "195517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "195517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.