Lisa J Perkins Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LISA J PERKINS PSYCHOTHERAPY

Practice address

411 Route 6a BLDG 5 Unit C
Yarmouth Port, MA 02675-1843

Phone

(774) 212-5715

Fax

(508) 433-1871

NPI assigned

Nov 25, 2018

Last updated

Jan 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa J Perkins, LICSWNPI 1790177830

Title

Owner

Phone

(774) 212-5715

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa J Perkins, LICSW

  • Clinical Social Worker
  • Yarmouth Port, MA
  • NPI 1790177830
  NPD (past) Authorized official
• Kelsey Ann Gray, LICSW

  • Social Worker
  • Yarmouth Port, MA
  • NPI 1598894529
  NPD (past)

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546300800000",
    "number": "1700355492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREENEEDLE LN",
            "city": "DENNIS PORT",
            "state": "MA",
            "postal_code": "026391842",
            "telephone_number": "774-212-5715",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROUTE 6A BLDG 5 UNIT C",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751843",
            "telephone_number": "774-212-5715",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA J PERKINS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2019-01-01",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-212-5715",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian F Kowal, M.D.
• Andrew Charles Kramer, M.D.
• Kristin Phillips, LMHC
• Charles Levy, D.M.D.
• Joshua Lindauer, DC
• Corey Joyce Lopes, DMD
• Cheryl Lyford, LMHC
• Clifford Spence Macdermid, PHARM. D
• Garry Mackoul, LMHC, LMFT
• Angela G Mallowes, LMHC

• Clinical Social Worker in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.