Jennifer Lish, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7335 Issued in MA

Practice address

9 Cedar St
Worcester, MA 01609-2505

Phone

(508) 210-0114

Fax

(508) 755-8645

NPI assigned

Dec 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apogee Integrated Mental Health Services, Inc.

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1063468551
  NPD (past)
• Carolyn J. Smith,PH.D.

  dba Eastern Shore Associates

  • Clinical Social Worker
  • Shrewsbury, MA
  • NPI 1285758102
  NPD (past)

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265597918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AVERY RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201235",
            "telephone_number": "508-210-0114",
            "fax_number": "508-755-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092505",
            "telephone_number": "508-210-0114",
            "fax_number": "508-755-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854062",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lippoth, M.A., LMHC
• Stewart Ian Lipson, RPH
• Krystal Lirakis
• Elianna Liriano
• Richard A Lirio, M.D.
• Marilyn Lisker Birnbaum, PH.D.
• Rachel Chloe Lister
• Richard G. Listerud, M.D.
• Veronica Margaret Watkins Listerud, MSW, LICSW
• Ryan Keith Litchfield

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.