DR. COLLEEN M BUCCI LIDDY PHD
NPI 1457843054
Psychologist - Clinical in Boston, MA

Q: What is Colleen Bucci Liddy's NPI number?

The NPI number for Colleen Bucci Liddy is 1457843054. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Colleen Bucci Liddy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Colleen Bucci Liddy enrolled in Medicare?

No. Colleen Bucci Liddy has opted out of Medicare through February 7, 2028. 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.

Active since May 31, 2018Opted out of Medicare · through Feb 7, 2028

867 BOYLSTON ST FL 5, BOSTON, MA 02116(617) 918-7394 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2021, Nov 4, 2019 (2 updates tracked since 2019).

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About Dr. Colleen M Bucci Liddy Phd NPPES

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

DR. COLLEEN M BUCCI LIDDY PHD (NPI 1457843054) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (11442) and active in the NPI registry since May 2018. She has opted out of Medicare through February 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457843054

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. COLLEEN M BUCCI LIDDYCredential: PHD

Location Address867 BOYLSTON ST FL 5Boston, MA 02116-2774

Mailing Address867 Boylston St Fl 5Boston, MA 02116-2774 · (617) 918-7394

Phone(617) 918-7394

Sole ProprietorYes

Enumeration DateMay 31, 2018

Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration

NPPES CertifiedNovember 29, 2023

✔ NPI 1457843054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11442

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

867 BOYLSTON ST FL 5, Boston, MA 02116

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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. Colleen M Bucci Liddy 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 February 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024

Opt-Out In Effect ThroughFebruary 7, 2028Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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