Lisa Cicetti, PSY.D.,L.M.H.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 7715 Issued in FL

Practice address

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323

Phone

(561) 502-1992

NPI assigned

Jul 22, 2008

Last updated

Jan 20, 2023By 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 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cotler Healthcare and Development IncGroup PAC ID 0143121145, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment Care Compare group NPD
• Lisa Cicetti PSYD LMHC Inc.

  • Clinical Neuropsychologist
  • Boynton Beach, FL
  • NPI 1215124847

  Mental Health

  Medicare reassignment NPD Authorized official
• American Integrative Health Systems LLC

  • Cognitive & Behavioral Psychologist
  • Boynton Beach, FL
  • NPI 1609581008
  Authorized official Same address or phone
• Lifeline to Recovery Inc

  • Clinical Medical Laboratory
  • Lake Worth, FL
  • NPI 1477976918
  Authorized official Same address or phone
• Lisa Cicetti Psy.D., LMHC Inc.

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1699044354
  NPD (past) Authorized official
• Neuro-Diagnostix

  • Clinical Medical Laboratory
  • Jupiter, FL
  • NPI 1033509492
  Authorized official Same address or phone
• Neurorecovery Inc

  • Clinical Neuropsychologist
  • Boynton Beach, FL
  • NPI 1376931519
  Authorized official Same address or phone
• New Directions 2.0 LLC

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1205259975
  Authorized official Same address or phone
• New Directions LLC

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1285984211
  Authorized official Same address or phone
• The Neuroforensic Institute and Therapeutic Services Inc.

  • Clinical Neuropsychologist
  • Boynton Beach, FL
  • NPI 1902112717
  NPD (past) Authorized official
• Medication Management Specialists, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Topeka, KS
  • NPI 1831425230
  NPD
• Lisa Cicetti PSYD., LMHC Inc

  • Clinical Medical Laboratory
  • Jupiter, FL
  • NPI 1578955563
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1316102114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEPTUNE DR",
            "city": "HYPOLUXO",
            "state": "FL",
            "postal_code": "334626019",
            "telephone_number": "561-734-6118",
            "fax_number": "561-369-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-502-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICETTI",
        "first_name": "LISA",
        "credential": "PSY.D.,L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6095",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 7715",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY 7715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684466996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Christakis, MD
• George Andrew Christakis, DO
• Christopher N. Chiodo, DPM, PA
• Chrysalis Pediatric Rehabilitation
• Jonathan Chua, M.D.
• Patricia L Cicetti, LMHC
• Terri Ann Ciciless
• Karina V Cieri, PHARM.D
• Alexandra Cieslak
• Citadel Chiropractic, PA (Citadel Chiropractic Center)

• Clinical Neuropsychologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.