Lisa K Breslin, LCMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5085 Issued in MA

Practice address

27 Congress St Ste 203
Salem, MA 01970-5576

Phone

(617) 833-3781

NPI assigned

Sep 21, 2015

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1417326398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "address_2": "27 CONGRESS ST. #203",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019700247",
            "telephone_number": "617-833-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 203",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705576",
            "telephone_number": "617-833-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Canal St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704649",
            "country_code": "US",
            "telephone_number": "617-833-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESLIN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "LCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "5085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM. OF MASS. DIV. OF PROF. LICENSURE",
            "identifier": "5085-MT",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles G Brennan, MD
• Crystal Mae Brennan, LMHC
• Samantha Marie Foley Brennan
• Diana Brenner-Miller, M.S. CCC-SLP
• Julie Gale Breskin, PHD
• Kristin Kathleen Bresnahan
• Susan Devereux Bresnahan, R.N.
• Kristina Diane Breton
• Kelsey Brey
• Kelly Catherine Briggs, M.A.

• Specialist in Salem, MA
• Providers in Salem, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.