Individual provider Active NPI

Lisa Beth Graff

  • Psychiatric/Mental Health Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1134874753
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2304375 Issued in MA
Practice address
450 Pearl St Ste 3
Stoughton, MA 02072-1617
Phone
(781) 344-0057
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2304375 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2304375 MA Primary

Addresses

Primary practice location

450 Pearl St Ste 3
Stoughton, MA 02072-1617

Mailing address

249 Darrington Dr
Raynham, MA 02767-1551
Phone (508) 951-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706002184 MA Practitioner - Nurse Practitioner 4587023783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abelard Psychotherapy IncGroup PAC ID 4385059104, 16 clinicians

Practice addresses (Care Compare)

1032 Turnpike St
Suite 301
Canton, MA 02021-2864
Phone (781) 344-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2304375MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abelard Psychotherapy Inc. CurrentSince Jun 9, 2023 Accepting new patients

Locations

1032 Turnpike St
Ste 301
Canton, MA 02021
Phone (781) 344-0057

30 Eastbrook Rd
Ste 103
Dedham, MA 02026
Phone (781) 344-0057

450 Pearl St
Ste 3
Stoughton, MA 02072
Phone (781) 344-0057

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1134874753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 DARRINGTON DR",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671551",
            "telephone_number": "508-951-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PEARL ST STE 3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721617",
            "telephone_number": "781-344-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "LISA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2304375",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2304375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.