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MARIA JOSE LISOTTO MD
NPI 1669729828
Psychiatry & Neurology - Psychiatry in Brookline, MA

Active since August 07, 2012Opted out of Medicare · through Jul 1, 2028
1 BROOKLINE PL STE 502, BROOKLINE, MA 02445(617) 651-2111(815) 205-4478 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 11, 2024, Nov 3, 2018, Jun 24, 2016 (3 updates tracked since 2016).

About Maria Jose Lisotto Md NPPES

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

MARIA JOSE LISOTTO MD (NPI 1669729828) is an individual psychiatry provider in Brookline, Massachusetts, licensed in Massachusetts (MD266517) and active in the NPI registry since August 2012. She has opted out of Medicare through July 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669729828
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARIA JOSE LISOTTOCredential: MD
Location Address1 BROOKLINE PL STE 502Brookline, MA 02445-7277
Mailing Address30 N Gould St # 42229Sheridan, WY 82801-6317 · (617) 651-2111 · Fax (815) 205-4478
Phone(617) 651-2111
Fax(815) 205-4478
Sole ProprietorNo
Enumeration DateAugust 7, 2012
Last NPPES UpdateMay 11, 20243 updates tracked since enumeration
NPPES CertifiedMay 11, 2024
✔ NPI 1669729828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MA · MD266517✔ Licensed in PA · MD455655
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 BROOKLINE PL STE 502, Brookline, MA 02445
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Other Names 1

Former Name (1)Maria Julios Costa Md

Secondary Practice Locations 2

Location 1115 Mill St # MS 343Belmont, MA 02478-1048 · Phone (617) 855-4197
Location 2867 Boylston St Fl 5Boston, MA 02116-2774 · Phone (617) 651-2111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maria Jose Lisotto Md 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 July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DR. PARSA RAVANFAR PLLC
Psychiatry & Neurology (Psychiatry)
1 BROOKLINE PL STE 502
BROOKLINE, MA 02445
Norfolk County (617) 651-0170
XENIA JOHNSON BHEMBE MD
Psychiatry & Neurology (Psychiatry)
1 BROOKLINE PL STE 502
BROOKLINE, MA 02445
Norfolk County (617) 690-2011
PARSA RAVANFAR MD, PHD
Psychiatry & Neurology (Psychiatry)
1 BROOKLINE PL STE 502
BROOKLINE, MA 02445
Norfolk County (617) 651-0170
JENNIFER HARRIS, MD, PLLC
Psychiatry & Neurology (Psychiatry)
1 BROOKLINE PL STE 502
BROOKLINE, MA 02445
Norfolk County (617) 383-9820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Lisotto's NPI number?

The NPI number for Maria Lisotto is 1669729828. It was assigned to this individual provider in the NPPES registry on August 7, 2012. The provider is also known as Maria Julios Costa MD.

Where is Maria Lisotto located?

Maria Lisotto practices at 1 Brookline Pl Ste 502, Brookline, MA 02445. The listed phone number is (617) 651-2111.

What is Maria Lisotto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Maria Lisotto enrolled in Medicare?

No. Maria Lisotto has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Maria Lisotto was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.