DR. LISA A KROCK ED.D. NPI 1538220751

NPI Information

  • NPI: 1538220751
  • Provider Name: DR. LISA A KROCK, ED.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 24 ROCKLAND ST
    HANOVER, MA
    ZIP 02339
  • Phone: (781) 826-8228

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NPI Details

DR. Lisa A Krock, ED.D. is a clinical psychologist in Hanover, MA. 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. Lisa A Krock, ED.D. NPI is 1538220751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24 ROCKLAND ST
HANOVER, MA
ZIP 02339-226
Phone: (781) 826-8228
Fax: (781) 826-0965

The enumeration date for this NPI number is 12/12/2006 and was last updated on 9/7/2007.

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)3003MASSACHUSETTSNo
2103TA0700XPsychologistAdult Development & Aging3003MASSACHUSETTSNo
3103TC2200XPsychologistClinical Child & Adolescent3003MASSACHUSETTSNo
4103TF0200XPsychologistForensic3003MASSACHUSETTSNo
5103T00000XPsychologist3003MASSACHUSETTSNo
6103TF0000XPsychologistFamily3003MASSACHUSETTSNo
7103TC0700XPsychologistClinical3003MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WO3053MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
20510629MEDICAIDMASSACHUSETTS

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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