Li Ting Eileen NG, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5000512 Issued in MA

Practice address

21 Cummings Park Ste 200
Woburn, MA 01801-2198

Phone

(781) 305-4086

Fax

(781) 305-4087

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeanom LLC

  dba Like a Phoenix

  • Mental Health Counselor
  • Woburn, MA
  • NPI 1053944850

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1841972106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CUMMINGS PARK STE 200",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012198",
            "telephone_number": "781-305-4086",
            "fax_number": "781-305-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CUMMINGS PARK STE 200",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012198",
            "telephone_number": "781-305-4086",
            "fax_number": "781-305-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "LI TING EILEEN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY5000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Urogynecology P.C. (Neugyn2)
• New England Urogynecology P.C.
• New England Womens Healthcare
• Rachel Newcomb
• Newh OBGYN, LLC (New England Womens Healthcare)
• Lena S. Nganga, MSW, LCSW
• Annie Ngugi
• Stephanie Nihan, LPN
• Hillary Noe, PTA
• Jordan Noone

• Psychologist in Woburn, MA
• Providers in Woburn, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.