Individual provider Active NPI

Marie-Christine Nizzi, PHD

  • Psychologist
  • West Lebanon, NH
National Provider Identifier
1891434197
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11778 Issued in MA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
112801IAMDPsychologist
048.0134435VTMDPsychologist
33378CAMDLicensed Psychiatric Technician
1588NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.