DR. LISA CARYN SMITH (NPI# 1396031431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396031431 |
| Entity Type | Individual |
| Full Name | DR. LISA CARYN SMITH |
| Credential | PHD |
| Practice Address |
648 Beacon St 6th Floor Boston MA 02215-2013 |
| Mailing Address |
648 Beacon St. 6th Floor Boston MA 02215 |
| Practice Telephone | 6173539610 |
| Practice Fax Number | 6173539610 |
| Mailing Telephone | 6173539610 |
| Mailing Fax Number | 6173539610 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
7881 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
648 BEACON ST 6TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667901 | Joint Ventures Physical Therapy, Inc. | Occupational Therapist | 648 Beacon St, Boston, MA 02215 | 2006-05-19 |
| 1467942490 | Donna Beth Otis | Psychologist | 648 Beacon St, Boston, MA 02215-2012 | 2018-05-15 |
| 1235410150 | Rachel A Merson | Psychologist | 648 Beacon St, 6th Floor, Boston, MA 02215-2013 | 2011-09-06 |
| 1427381474 | Nicholas Mian | Counselor | 648 Beacon St, Center for Anxiety and Related Disorders, B.u., Boston, MA 02215-2013 | 2009-09-09 |
| 1083844211 | Katherine C Eisenmenger | Psychiatry & Neurology | 648 Beacon St, 6th Floor, Boston, MA 02215-2013 | 2009-07-22 |
| 1194906149 | Dana Satir | Student in an Organized Health Care Education/Training Program | 648 Beacon St, Center for Anxiety and Related Disorders, 6th Floor, Boston, MA 02215-2013 | 2007-11-19 |
| 1770608846 | Tibor Patrick Palfai | Psychologist | 648 Beacon St, Boston, MA 02215-2013 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487080487 | Kip Van Thompson | Psychologist | 166 Terrace St, Apt. 314, Boston, MA 02120-2512 | 2013-09-23 |
| 1255677969 | Kaila Norman Mack | Psychologist | 151 Merrimac St Fl 3, Child Cbt Program At Mgh, Boston, MA 02114-4714 | 2012-12-27 |
| 1023642865 | Chia Hsuan Sabrina Chang | Psychologist | 20 Vining St, Boston, MA 02115-6115 | 2020-03-02 |
| 1982001871 | Amy Elizabeth Lawrence | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-11-20 |
| 1811306194 | Shimrit Koren Black | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-08-12 |
| 1942646138 | Rachel Zack Ishikawa | Psychologist | 55 Fruit Street, Wang Ambulatory Care Center, Boston, MA 02114 | 2013-05-15 |
| 1518226612 | Noah Chase Berman | Psychologist | 185 Devonshire St, Suite 900, Boston, MA 02110-1407 | 2012-05-09 |
| 1770862757 | Megan Oser | Psychologist | 221 Longwood Ave, 4th Floor, Boston, MA 02115-5804 | 2011-08-09 |
| 1740583327 | Center for Anxiety and Related Disorders At Boston University | Psychologist | 648 Beacon St Ste 6, Boston, MA 02215-2013 | 2010-12-21 |
| 1851628887 | Todd Joel Farchione | Psychologist | 268 Newbury St, Third Floor, Boston, MA 02116-2424 | 2009-11-12 |
| Find all providers in BOSTON | ||||
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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.