DR. LISA YETTA LIVSHIN (ED.D) – Counseling Psychologist, NPI 1417946757

DR. LISA YETTA LIVSHIN (ED.D) is a healthcare provider. based in Newton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D. They hold a License No. 4819 (MA). The NPI Number for DR. LISA YETTA LIVSHIN (ED.D) is 1417946757

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA YETTA LIVSHIN (ED.D)
NPI
1417946757
Phone
(617) 244-2070
Address
69 MARGARET RD
Enumeration Date
19 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172765010
Graduation Year
1989 (37 years ago)
PAC ID
4880695907
Professional Enrollment ID
I20070116000374
Address ID
MA024452147BR47XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. LISA YETTA LIVSHIN (ED.D)

  • 69, Margaret Road, Newton Highlands, Newton Centre, Newton, Middlesex County, Massachusetts, 02158, United States

    NEWTON, MA 024611610

    Phone: (617) 244-2070

    Fax: (617) 244-2070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070116000374IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour21912$0
View full utilization report →

Insurance plans in this area (ZIP 02461)

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Reviews

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Frequently asked questions

What NPI should I save for DR. LISA YETTA LIVSHIN (ED.D)?
Save NPI 1417946757 if you need a stable reference for DR. LISA YETTA LIVSHIN (ED.D).
Is DR. LISA YETTA LIVSHIN (ED.D)'s NPI currently valid?
The extract we use shows DR. LISA YETTA LIVSHIN (ED.D) as active.
What field does DR. LISA YETTA LIVSHIN (ED.D) work in?
You can think of DR. LISA YETTA LIVSHIN (ED.D) as practicing within Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Does DR. LISA YETTA LIVSHIN (ED.D) practice in Massachusetts?
You will see Newton, Massachusetts on file for DR. LISA YETTA LIVSHIN (ED.D) alongside any extra practice locations.
What if Newton, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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