Active NPI
Heidi T. Lilienthal, PSY.D.
- Clinical Psychologist
- Newburyport, MA
National Provider Identifier
1407912892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7685
- Practice address
- 55 Pleasant St
Newburyport, MA 01950-2628 - Phone
- (978) 239-4651
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- 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 | 7685 | MA | Primary |
Addresses
Primary practice location
55 Pleasant St
Newburyport, MA 01950-2628
Mailing address
26 Lincoln Ave
South Hamilton, MA 01982-2018
Phone (978) 239-4651
Other names 1
- Dr. Heidi T. Lilienthal-Blaser
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1407912892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LINCOLN AVE",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019822018",
"telephone_number": "978-239-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PLEASANT ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502628",
"telephone_number": "978-239-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILIENTHAL",
"first_name": "HEIDI",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "LILIENTHAL-BLASER",
"middle_name": "T.",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.