Active NPI
Lisa Arielle Taylor, PSY.D.
- Psychologist
- Springfield, MA
National Provider Identifier
1841783768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10835
- Practice address
- 819 Worcester St Ste 3
Springfield, MA 01151-1056 - Phone
- (413) 543-6820
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 10835 | MA | Primary |
Addresses
Primary practice location
819 Worcester St Ste 3
Springfield, MA 01151-1056
Mailing address
11 Hickory Rd
Sudbury, MA 01776-2909
Phone (561) 271-6526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 21, 2025 through Jan 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1841783768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HICKORY RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017762909",
"telephone_number": "561-271-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 WORCESTER ST STE 3",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011511056",
"telephone_number": "413-543-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LISA",
"middle_name": "ARIELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.