Organization Active NPI

Lisa Oransoff PHD LLC

  • Clinical Psychologist
  • Storrs Mansfield, CT
National Provider Identifier
1871782375
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1505 Issued in CT
Legal business name
LISA ORANSOFF PHD LLC
Practice address
18 Dog LN
Suite C
Storrs Mansfield, CT 06268-2225
Phone
(860) 306-4341
NPI assigned
Oct 19, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Lisa Oransoff, PHDNPI 1629048988
Title
Psychologist/Member
Phone
(860) 306-4341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1505 CT Primary

Addresses

Primary practice location

18 Dog LN
Suite C
Storrs Mansfield, CT 06268-2225

Mailing address

18 Dog LN
Suite C
Storrs Mansfield, CT 06268-2225
Phone (860) 306-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000538 CT Part B Supplier - Clinic/Group Practice 2163510199 Receives reassigned benefits from 1 practitioner
Practice locations: Storrs, CT

National Provider Directory

National Provider Directory

Locations

18 Dog Ln
#B
Storrs Mansfield, CT 06268
Phone (860) 306-4341

18 Dog Ln
Ste C
Storrs Mansfield, CT 06268
Phone (860) 306-4341

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1871782375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DOG LN",
            "address_2": "SUITE C",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682225",
            "telephone_number": "860-306-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DOG LN",
            "address_2": "SUITE C",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682225",
            "telephone_number": "860-306-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ORANSOFF PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ORANSOFF",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MEMBER",
        "authorized_official_telephone_number": "860-306-4341",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.