LP Psychological & Wellness Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LP PSYCHOLOGICAL & WELLNESS SERVICES, LLC

Practice address

92 Elmer Rd
Boston, MA 02124-5014

Phone

(203) 667-9413

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah Ann Perniciaro-Blair, PSY.D.NPI 1861752990

Title

Clinical Psychologist

Phone

(203) 667-9413

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Ann Perniciaro - Blair, PSY.D.

  • Clinical Psychologist
  • Boston, MA
  • NPI 1861752990
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1023775657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ELMER RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021245014",
            "telephone_number": "203-667-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ELMER RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021245014",
            "telephone_number": "203-667-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP PSYCHOLOGICAL & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "PERNICIARO-BLAIR",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-667-9413",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matte Loyce, B.S.
• Gustavo Lozada, MD
• Jennifer Yashira Lozada, RDH, DDS
• Santiago Andres Lozano Calderon, MD, PHD
• Maya Lozinski
• Alice Lu-Culligan, MD, PHD
• William John Lu-Culligan, MD, PHD
• Alice Lu, MD
• Amanda Jing Lu, MD, PHD
• Anjanique Mariquit Rosete Lu, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.