Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Kellie Bosco, MBBCHBAO

Individual provider Psychiatry Physician · NPI 1124478037

Dr. Lisa Kellie Bosco, MBBCHBAO is a Psychiatry in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1 Boston Pl Ste 2600
Boston, MA 02108-4420
Phone: (617) 420-7194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 281821 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 268395 (MA)

Record details

NPI number1124478037
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBBCHBAO
Sole proprietorYes
NPI enumeratedJune 21, 2016
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Boston