Individual provider Active NPI

Laurie Paquette, PHD

  • Psychologist
  • Melbourne, FL
National Provider Identifier
1942628359
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8995 Issued in FL
Practice address
7341 Office Park PL Ste 106
Melbourne, FL 32940-8280
Phone
(321) 757-2133
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8995 FL Primary

Addresses

Primary practice location

7341 Office Park PL Ste 106
Melbourne, FL 32940-8280

Mailing address

7341 Office Park PL Ste 106
Melbourne, FL 32940-8280
Phone (321) 757-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150805009180 FL Practitioner - Clinical Psychologist 3375857253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Interlachen Rd
Suite a
Melbourne, FL 32940-1995
Phone (321) 757-2133

7341 Office Park PL
Suite 106
Melbourne, FL 32940-8280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8995FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Assessment Center of Brevard Inc CurrentSince Jun 28, 2018 Accepting new patients

Locations

7341 Office Park Pl
Ste 101
Melbourne, FL 32940
Phone (321) 757-2133

140 Interlachen Rd
Ste A
Melbourne, FL 32940
Phone (321) 497-5500

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1942628359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL STE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "321-757-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL STE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "321-757-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.