DR. LISA CARYN SMITH PHD - NPI 1396031431 - Psychologist in Boston, MA

Q: What is Lisa Smith's NPI number?

The NPI number for Lisa Smith is 1396031431. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: Is Lisa Smith enrolled in Medicare?

No. Lisa Smith has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Lisa Caryn Smith Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA CARYN SMITH PHD (NPI 1396031431) is an individual cognitive & behavioral provider in Boston, Massachusetts, licensed in Massachusetts (7881) and active in the NPI registry since June 2011. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396031431

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameDR. LISA CARYN SMITHCredential: PHD

Location Address900 COMMONWEALTH AVE STE 2Boston, MA 02215-1200

Mailing Address900 Commonwealth Ave Ste 2Boston, MA 02215-1200 · (617) 353-9610 · Fax (617) 353-9609

Phone(617) 353-9610

Fax(617) 353-9609

Sole ProprietorYes

Enumeration DateJune 28, 2011

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1396031431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MA · 7881

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

900 COMMONWEALTH AVE STE 2, Boston, MA 02215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Caryn Smith Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN MARIE PARSONS PHD

Psychologist (Clinical)