Lisa Diane Massaro, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43286 Issued in CA

Practice address

125 College Pond Rd
Plymouth, MA 02360-3105

Phone

(626) 399-4290

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

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 2

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 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 and National Provider Directory roles.

• Child and Family Psychological Services, PLLC

  • Psychologist
  • Norwood, MA
  • NPI 1912987181
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1568624625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLLEGE POND RD # Q",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603105",
            "telephone_number": "626-399-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLLEGE POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603105",
            "telephone_number": "626-399-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 W Sierra Madre Blvd",
            "address_2": "Q",
            "address_purpose": "LOCATION",
            "city": "Sierra Madre",
            "state": "CA",
            "postal_code": "910242258",
            "country_code": "US",
            "telephone_number": "626-399-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1925",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M Martin, OTR/L
• Tracey Martin, NP
• Mary S. Truex, D.C.
• Richard Anthony Masciantonio, PHARMD
• Mass Optometric Associates, PLLC
• Laurie Massey, MD
• Josclyn Masterson, LICSW
• Lori Mateljan, B.A.
• Jennifer Matney
• Rosemary Carolyn Mattaino, DO

• Marriage & Family Therapist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Marriage & Family Therapist in Massachusetts

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