DR. LARRY L LARSEN (NPI# 1396855474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396855474 |
| Entity Type | Individual |
| Full Name | DR. LARRY L LARSEN |
| Credential | PHD |
| Practice Address |
28 Andover Street Andover MA 01810 |
| Practice Telephone | 9784756622 |
| Practice Fax Number | 9784758436 |
| Mailing Telephone | 9784756622 |
| Mailing Fax Number | 9784758436 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 575 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0501735 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740088 | Larry Nels Larsen | Physical Therapist | 1717 Irving Pl, Shreveport, LA 71101-4605 | 2005-09-20 |
| 1760685614 | Larry C. Larsen | Pharmacist | 244 North Main Street, Watford City, ND 58854-0550 | 2007-06-07 |
| Street Address |
28 ANDOVER STREET |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427328178 | Sonjit Mukherjee | Social Worker | 28 Andover Street, Andover, MA 01810 | 2012-01-11 |
| 1730255019 | Susan Feeney | Internal Medicine | 28 Andover Street, Andover, MA 01810 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1427362607 | Louise Ann Peterson-arnzen | Psychologist | 1 Elm Sq Ste 2a, Andover, MA 01810-3986 | 2010-07-30 |
| 1902042575 | Max Alovisetti | Psychologist | 20 Abbot St, Andover, MA 01810-4004 | 2009-01-01 |
| 1003097775 | Thomas Lynn Edwards | Psychologist | 16150 Crosstown Blvd Nw, Andover, MN 55304-2111 | 2007-11-21 |
| 1053420018 | Richard Norman Shulik | Psychologist | 35 Clark Rd, Andover, MA 01810-5601 | 2006-08-30 |
| 1760493613 | Lisa Bailyn | Psychologist | 3 Dundee Park, Suite 203, Andover, MA 01810-3723 | 2006-08-10 |
| 1760439327 | Shereen M O'malley | Psychologist | 1875 Station Parkwaynw, Andover, MN 55304-1719 | 2006-05-28 |
| 1073578472 | Rum River Counseling, Inc. | Psychologist | 2705 Bunker Lake Blvd Nw, Suite 100, Andover, MN 55304-3784 | 2006-04-19 |
| 1598377079 | Jared Samuel Ohm | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2020-08-17 |
| 1104381284 | Jill Roberts | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2019-02-04 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.