Individual provider Active NPI

Lisa Masse, PHD

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1598946303
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01470 Issued in RI
Practice address
1 Richmond SQ Ste 530
Providence, RI 02906-5139
Phone
(401) 349-3131
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01470 RI Primary
Clinical Child & Adolescent Psychologist 103TC2200X B1-0000857 DE

Addresses

Primary practice location

1 Richmond SQ Ste 530
Providence, RI 02906-5139

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

1485 S County Trl Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040

Other practice location 2

7 Austin Ave
Greenville, RI 02828-1520
Phone (401) 349-3131

Other practice location 3

1400 Peoples Plz
Suite 204
Newark, DE 19702-5707
Phone (302) 832-1282

Other practice location 4

400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Phone (401) 349-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003162 RI Practitioner - Clinical Psychologist 7416492335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

1 Richmond SQ
Suite 300E
Providence, RI 02906-5160
Phone (401) 349-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS01470RIMDClinical Psychologist
B1-0000857DEMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gershon Psychological Associates, LLC Psychologist CurrentSince Jun 1, 2024 Accepting new patients
Child and Family Psychiatry, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324

1 Richmond Sq
Ste 300E
Providence, RI 02906
Phone (401) 481-8351

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lisamasse@151046.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1598946303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 530",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 S County Trl Unit 107",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181771",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Austin Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "RI",
            "postal_code": "028281520",
            "country_code": "US",
            "telephone_number": "401-349-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Peoples Plz",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197025707",
            "country_code": "US",
            "telephone_number": "302-832-1282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028866111",
            "country_code": "US",
            "telephone_number": "401-349-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSE",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01470",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DE",
            "license": "B1-0000857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.