Active NPI
Richard Tony Liu
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1952701088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11436
- Practice address
- MGH Practice
55 Fruit Street
Boston, MA 02114 - Phone
- (617) 726-2000
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- No
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 | PS01457 | RI | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PS01457 | RI | |
| Clinical Psychologist | 103TC0700X | PS01457 | RI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01457 | RI | |
| Clinical Psychologist | 103TC0700X | 11436 | MA | Primary |
Addresses
Primary practice location
MGH Practice
55 Fruit Street
Boston, MA 02114
Mailing address
1 Bowdoin SQ
Boston, MA 02114-2927
Phone (617) 726-8895
Other practice location 1
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone (401) 432-1055
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 |
|---|---|---|---|
| PS01457 | RI | MD | Clinical Psychologist |
| 11436 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1952701088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOWDOIN SQ",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142927",
"telephone_number": "617-726-8895",
"fax_number": "617-643-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MGH PRACTICE",
"address_2": "55 FRUIT STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-2000"
}
],
"practiceLocations": [
{
"address_1": "1011 Veterans Memorial Pkwy",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "RI",
"postal_code": "029155061",
"country_code": "US",
"telephone_number": "401-432-1055",
"fax_number": "401-432-1607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "RICHARD",
"middle_name": "TONY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01457",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "RI",
"license": "PS01457",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01457",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01457",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.