Active NPI
Lisa Kay Edlin, PH.D.
- Clinical Psychologist
- Milford, MA
National Provider Identifier
1891701215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7076
- Practice address
- 409 Fortune Blvd
Milford, MA 01757-1741 - Phone
- (508) 473-7400
- Fax
- (508) 473-6644
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7076 | MA | Primary |
Addresses
Primary practice location
409 Fortune Blvd
Milford, MA 01757-1741
Mailing address
6 Blueberry Dr
Mendon, MA 01756-1379
Phone (508) 254-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7076 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Franklin Counseling Services Inc | Past | Accepting new patients | |
| Milford-Franklin Counseling Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Milford, MA
- NPI 1992867832
-
- Clinical Social Worker
- Milford, MA
- NPI 1215080593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891701215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BLUEBERRY DR",
"city": "MENDON",
"state": "MA",
"postal_code": "017561379",
"telephone_number": "508-254-4480",
"fax_number": "508-473-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 FORTUNE BLVD",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571741",
"telephone_number": "508-473-7400",
"fax_number": "508-473-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLIN",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.