Active NPI
Laura A Payne, PH.D.
- Clinical Psychologist
- Belmont, MA
National Provider Identifier
1982993531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10770
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10770 | MA | MD | Clinical Psychologist |
| 23172 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Clinical | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.