Individual provider Active NPI

Lisa Manzi Lentino, PH.D.

  • Clinical Psychologist
  • Sudbury, MA
National Provider Identifier
1902822489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7893 Issued in MA
Practice address
416 Boston Post Rd
Sudbury, MA 01776-3016
Phone
(978) 443-5611
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7893 MA Primary

Addresses

Primary practice location

416 Boston Post Rd
Sudbury, MA 01776-3016

Mailing address

416 Boston Post Rd
Sudbury, MA 01776-3016
Phone (978) 443-5611

Other identifiers 2

IdentifierTypeStateIssuer
W06068OtherMABLUE CROSS BLUE SHIELD
2115855OtherMACIGNA BEHAVIORAL HEALTH

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
I20050920001093 MA Practitioner - Clinical Psychologist 2567496433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

416 Boston Post Rd
Sudbury, MA 01776-3016
Phone (978) 443-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7893MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Manzi Lentino PHD LLC CurrentSince Jan 4, 2010 Accepting new patients

Locations

416 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-5611

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902822489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763016",
            "telephone_number": "978-443-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763016",
            "telephone_number": "978-443-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTINO",
        "first_name": "LISA",
        "middle_name": "MANZI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06068",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2115855",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.