Active NPI
Marie-Christine Nizzi, PHD
- Psychologist
- West Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11778
- Practice address
- 10 Benning St Ste 160-170
West Lebanon, NH 03784-3402 - Phone
- (857) 204-4057
- NPI assigned
- Jun 3, 2022
- Last updated
- Feb 17, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1588 | NH | |
| Psychologist | 103T00000X | 11778 | MA | Primary |
| Psychologist | 103T00000X | 112801 | IA | |
| Psychologist | 103T00000X | 048.0134435 | VT | |
| Psychologist | 103T00000X | 33378 | CA |
Addresses
Primary practice location
10 Benning St Ste 160-170
West Lebanon, NH 03784-3402
Mailing address
30 Bank St Ste 3
Lebanon, NH 03766-1756
Phone (603) 585-5047
Other practice location 1
33 Kirkland St
Cambridge, MA 02138-2044
Phone (603) 585-5047
Other practice location 2
760 Westwood Plz # C8-849
Los Angeles, CA 90024-5055
Phone (603) 585-5047
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814004152 | MA | Practitioner - Clinical Psychologist | 4688173925 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
62 13RH St
Charlestown, MA 02129-2056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112801 | IA | MD | Psychologist |
| 048.0134435 | VT | MD | Psychologist |
| 33378 | CA | MD | Licensed Psychiatric Technician |
| 1588 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
300 1st Ave
Charlestown, MA 02129
Phone (617) 952-5000
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
300 Ocean Ave
Revere, MA 02151
Phone (781) 485-6000
Organizations & group practices 2
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1891434197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BANK ST STE 3",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661756",
"telephone_number": "603-585-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BENNING ST STE 160-170",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037843402",
"telephone_number": "857-204-4057"
}
],
"practiceLocations": [
{
"address_1": "33 Kirkland St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021382044",
"country_code": "US",
"telephone_number": "603-585-5047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Westwood Plz # C8-849",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900245055",
"country_code": "US",
"telephone_number": "603-585-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIZZI",
"first_name": "MARIE-CHRISTINE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "1588",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11778",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "112801",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "048.0134435",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "33378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.