Individual provider Active NPI

Laura A Payne, PH.D.

  • Clinical Psychologist
  • Belmont, MA
National Provider Identifier
1982993531
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10770 Issued in MA
Practice address
115 Mill St
Belmont, MA 02478
Phone
(617) 855-3478
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23172 CA
Clinical Psychologist 103TC0700X 10770 MA Primary

Addresses

Primary practice location

115 Mill St
Belmont, MA 02478

Mailing address

480 Laws Brook Rd
Concord, MA 01742-2023

Other practice location 1

2898 Rowena Ave Ste 205
Los Angeles, CA 90039-2096
Phone (310) 949-9213

Other practice location 2

1554 S Sepulveda Blvd Ste 215
Los Angeles, CA 90025-3359
Phone (310) 949-9213

Other practice location 3

1554 S Sepulveda Blvd Ste 215
Los Angeles, CA 90025-3359
Phone (310) 949-9213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10770MAMDClinical Psychologist
23172CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Clinical Current Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

Interoperability endpoints

  • Direct secure messaging: payne.laura.mcl@direct.partners.masshiway.net

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1982993531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LAWS BROOK RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-855-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2898 Rowena Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900392096",
            "country_code": "US",
            "telephone_number": "310-949-9213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1554 S Sepulveda Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900253359",
            "country_code": "US",
            "telephone_number": "310-949-9213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1554 S Sepulveda Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900253359",
            "country_code": "US",
            "telephone_number": "310-949-9213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23172",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.