Dr. Lisa Kellie Bosco, MB BCh BAO
Psychiatry & Neurology, Psychiatry in Boston, MA. Individual provider (NPI-1).
NPI number1124478037
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1124478037
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Kellie Bosco
- Credential
- MB BCh BAO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2016
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 281821 | MA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 268395 | MA |
Practice location
1 Boston Pl Ste 2600Boston, MA 02108-4420
Phone 617-420-7194
Mailing address
285 Third St Unit 405Cambridge, MA 02142-1181
Phone 914-960-6900
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