Lisa Oransoff, PHD
Individual provider Active NPI Clinical Psychologist · Pomfret Center, CT
NPI 1629048988 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629048988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 001505 (CT)
- Practice address
- 161 Mashamnquet Rd
Pomfret Center, CT 06259 - Phone
- (860) 928-5904
- Fax
- (860) 928-0634
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18 Dog LN
B
Storrs, CT 06268-2225
Phone (860) 306-4341
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071108000511 | CT | Practitioner - Clinical Psychologist | 7810085842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1505 | CT | MD | Occupational Therapy Assistant |
| 001505 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Oransoff PHD LLC | Clinical | Current |
Accepting new patients |
Locations
18 Dog Ln
Ste B
Storrs Mansfield, CT 06268
Phone (860) 337-3300
18 Dog Ln
#B
Storrs Mansfield, CT 06268
Phone (860) 306-4341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001505 | CT | Yes |
Addresses
Primary practice location
161 Mashamnquet Rd
Pomfret Center, CT 06259
Mailing address
PO Box 191
Pomfret Center, CT 06259-0191
Phone (860) 928-5904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255027 | Other | CT | MANAGED HEALTH NETWORK |
| 060001505CT01 | Other | CT | BLUE CROSS |
Other providers in Pomfret Center, CT
- Geraldine Isabell Markes
- Daniel Graham Marsala
- Sarah Elizabeth Medlyn-Chuck
- Christine Millette
- Anthony Allen Morelli
- Phoenix Rising Counseling
- Pomfret Board of Education
- Rachel Richards
- Elizabeth Santos
- Janet M Smith
All providers in Pomfret Center, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.