Active NPI
David Lipsitt, PSY.D.
- Clinical Psychologist
- Belmont, MA
National Provider Identifier
1366720070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9265
- Practice address
- 115 Mill St
Eh1
Belmont, MA 02478-1064 - Phone
- (617) 855-3421
- NPI assigned
- Jul 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9265 | MA | Primary |
Addresses
Primary practice location
115 Mill St
Eh1
Belmont, MA 02478-1064
Mailing address
230 Worcester St
Hvma Behavioral Health Dept
Wellesley, MA 02481-5420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9265 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1366720070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"address_2": "HVMA BEHAVIORAL HEALTH DEPT",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST",
"address_2": "EH1",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSITT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.