DR. LISA IGUCHI (NPI# 1255611042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255611042 |
| Entity Type | Individual |
| Full Name | DR. LISA IGUCHI |
| Credential | PHD |
| Practice Address |
339 Washington St Suite 203 Dedham MA 02026-1870 |
| Practice Telephone | 7817384954 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2012-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 9365 | MA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PS01243 | RI | Behavioral Health & Social Service Providers |
| Street Address |
339 WASHINGTON ST SUITE 203 |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704829 | Robert J Mendoza | Clinical Neuropsychologist | 339 Washington St, #203, Dedham, MA 02026-1870 | 2005-07-21 |
| 1104275346 | Dedham Consultation Center LLC | Counselor | 339 Washington St, Dedham, MA 02026-1870 | 2016-06-08 |
| 1518263433 | Empowered To Change, LLC | Psychologist | 339 Washington St, Suite 203, Dedham, MA 02026-1870 | 2011-02-10 |
| 1598994485 | Robert Mendoza Inc | Clinical Neuropsychologist | 339 Washington St, Suite 203, Dedham, MA 02026-1870 | 2009-07-13 |
| 1972781615 | Susan Ellen Bernstein | Social Worker | 339 Washington St, Suite 210, Dedham, MA 02026-1870 | 2008-02-05 |
| 1588709125 | Boston Forensic Associates LLC | Clinical Neuropsychologist | 339 Washington St, Ste 203, Dedham, MA 02026-1870 | 2007-02-21 |
| 1992848147 | Kathryn Dobbin Binda | Social Worker | 339 Washington St, Ste 203, Dedham, MA 02026-1870 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704829 | Robert J Mendoza | Clinical Neuropsychologist | 339 Washington St, #203, Dedham, MA 02026-1870 | 2005-07-21 |
| 1598994485 | Robert Mendoza Inc | Clinical Neuropsychologist | 339 Washington St, Suite 203, Dedham, MA 02026-1870 | 2009-07-13 |
| 1588709125 | Boston Forensic Associates LLC | Clinical Neuropsychologist | 339 Washington St, Ste 203, Dedham, MA 02026-1870 | 2007-02-21 |
| 1811087984 | Rick Sprague | Clinical Neuropsychologist | 910 Washington St, Dedham, MA 02026-6022 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.