Lisa Botticelli, PH.D. Psychology, P.L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.

Practice address

70 Middagh St # 2a
Brooklyn, NY 11201-1384

Phone

(203) 451-3100

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Marie Botticelli, PH.D.NPI 1992473961

Title

Operating Manager

Phone

(203) 451-3100

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.

• Lisa Marie Botticelli, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1992473961
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1407556822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 5TH AVE APT 32C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MIDDAGH ST # 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011384",
            "telephone_number": "203-451-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "BOTTICELLI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "203-451-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.