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

Individual provider Child & Adolescent Psychiatry Physician · NPI 1356634505

Stephanie A. Lichtor is a Psychiatry in Boston, Massachusetts. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2011, 15 years ago. Practices with Richmond Psychiatry Group Practice, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
15
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL, MA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 292707 (MA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036141256 (IL)

Record details

NPI number1356634505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2011
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Richmond Psychiatry Group Practice — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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