LISSA MARIE DUTRA PH.D
NPI 1912113564
Psychologist - Clinical in Cambridge, MA

Active since May 14, 2007
2 BREWER ST, CAMBRIDGE, MA 02138(617) 230-3002 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lissa Marie Dutra Ph.d NPPES

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

LISSA MARIE DUTRA PH.D (NPI 1912113564) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (TBA) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1912113564
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLISSA MARIE DUTRACredential: PH.D
Location Address2 BREWER STCambridge, MA 02138-5710
Mailing Address10 Concord AveCambridge, MA 02138-2322 · (617) 230-3002 · Fax (617) 849-5863
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 7, 2016
NPI 1912113564 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 · TBA
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.
2 BREWER ST, Cambridge, MA 02138

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
2 BREWER ST
CAMBRIDGE, MA 02138
Social Worker (Clinical)
2 BREWER ST
CAMBRIDGE, MA 02138
Psychologist
2 BREWER ST
CAMBRIDGE, MA 02138

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 Lissa Dutra's NPI number?

The NPI number for Lissa Dutra is 1912113564. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Lissa Dutra located?

Lissa Dutra practices at 2 Brewer St, Cambridge, MA 02138. The listed phone number is (617) 230-3002.

What is Lissa Dutra's specialty?

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

What insurance does Lissa Dutra accept?

Health plans from Anthem Blue Cross and Blue Shield list Lissa Dutra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lissa Dutra was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.