Individual provider Active NPI

Laura Palmer, PH.D., ABPP

  • Clinical Neuropsychologist
  • Madison, NJ
National Provider Identifier
1932260197
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
NJSI 03534 Issued in NJ
Practice address
37 Kings Rd
Ste. 102
Madison, NJ 07940-2500
Phone
(973) 377-7705
Fax
(973) 377-7792
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NJSI 03534 NJ Primary

Addresses

Primary practice location

37 Kings Rd
Ste. 102
Madison, NJ 07940-2500

Mailing address

37 Kings Rd
Ste. 102
Madison, NJ 07940-2500
Phone (973) 377-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050523000810 NJ Practitioner - Clinical Psychologist 9032151865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura Palmer PHD LLCGroup PAC ID 4587703145, 2 clinicians

Practice addresses (Care Compare)

333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone (973) 727-5475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NJSI 03534NJMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Palmer PHD LLC Clinical Neuropsychologist CurrentSince Nov 2, 2002 Accepting new patients

Locations

37 Kings Rd
Ste 102
Madison, NJ 07940
Phone (973) 377-7705

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1932260197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KINGS RD",
            "address_2": "STE. 102",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-377-7705",
            "fax_number": "973-377-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD",
            "address_2": "STE. 102",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-377-7705",
            "fax_number": "973-377-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "NJSI 03534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.