DR. MICHAEL BRUCE LISTER PSY.D. NPI 1215203914

NPI Information

  • NPI: 1215203914
  • Provider Name: DR. MICHAEL BRUCE LISTER, PSY.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 423 E MAIN ST
    #2
    ENDICOTT, NY
    ZIP 13760
  • Phone: (607) 754-1101

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NPI Details

DR. Michael Bruce Lister, PSY.D. is a clinical psychologist in Endicott, NY with 15 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Michael Bruce Lister, PSY.D. NPI is 1215203914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

423 E MAIN ST
#2
ENDICOTT, NY
ZIP 13760-940
Phone: (607) 754-1101
Fax: (607) 754-1107

The NPI 1215203914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 3/27/2012 and was last updated on 8/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical0810004531VIRGINIANo
2103TA0700XPsychologistAdult Development & Aging0810004531VIRGINIANo
3103TC0700XPsychologistClinical021193-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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