Active NPI
Lisa F. Bibuld, PSYD
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1598971459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11300
- Practice address
- 1 Boston Medical Center Place
Boston, MA 02118 - Phone
- (617) 414-5245
- Fax
- (617) 414-5520
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 11300 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Center Place
Boston, MA 02118
Mailing address
801 Albany Street
Floor Ground
Boston, MA 02119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110165671A | Medicaid | MA |
Other names 1
- Lisa Best
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11300 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1598971459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY STREET",
"address_2": "FLOOR GROUND",
"city": "BOSTON",
"state": "MA",
"postal_code": "02119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CENTER PLACE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-5245",
"fax_number": "617-414-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBULD",
"first_name": "LISA",
"middle_name": "F.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110165671A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BEST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.