Provider Demographics
NPI:1730763079
Name:LAMADE PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:LAMADE PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAINA
Authorized Official - Middle Name:V
Authorized Official - Last Name:LAMADE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-748-7687
Mailing Address - Street 1:227 UNION ST STE 706
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-5946
Mailing Address - Country:US
Mailing Address - Phone:631-748-7687
Mailing Address - Fax:
Practice Address - Street 1:227 UNION ST STE 706
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5946
Practice Address - Country:US
Practice Address - Phone:631-748-7687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty