Active NPIIndividual provider

Lisa M Rullie, PMHNP

Clinical Nurse Specialist, Psych/Mental Health, Child & Family in Marlborough, Massachusetts

NPI Number1649523523
Practice location
11 Apex Dr Ste 300A, Marlborough, MA 01752-1977
Fax
508-535-5114
Last updated
March 10, 2026

Lisa Marie Rullie is a Clinical Nurse Specialist, Psych/Mental Health, Child & Family based in Marlborough, MA. Lisa Marie Rullie practices in Marlborough, MA and has the professional credentials of PMHNP. The NPI Number for Lisa Marie Rullie is 1649523523 and holds a License No. 2019042883 (MA). The current practice location address for Lisa Marie Rullie is 11 Apex Dr Ste 300A, Marlborough, MA 01752-1977 and can be reached out via phone at 508-919-6179 and via fax at 508-535-5114.

Provider Profile Details

NPI Number
1649523523
Provider Name
Lisa Marie Rullie
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
11 Apex Dr Ste 300A, Marlborough, MA 01752-1977
Phone Number
508-919-6179
Fax Number
508-535-5114
Sole Proprietor
No
Provider Enumeration Date
October 17, 2012
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Apex Dr Ste 300A
Marlborough, MA 01752-1977
Zip
01752-1977
Phone Number
508-919-6179
Fax Number
508-535-5114
Marlborough, MA 01752Get directions →

Provider Business Mailing Address Details

Address
11 Apex Dr Ste 300A
Marlborough, MA 01752-1977
City
Marlborough
State
MA
Zip
01752-1977
Phone Number
508-919-6179
Fax Number
508-535-5114

License Information

License Number (1)
2019042883
License State (1)
MA
License Number (2)
2019042883
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
2019042883
License State (3)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Rullie, PMHNP?

The NPI number of Lisa M Rullie, PMHNP is 1649523523. It was assigned on October 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Lisa M Rullie, PMHNP?

Lisa M Rullie, PMHNP is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Child & Family (code 364SP0810X), licensed in MA under license number 2019042883.

Where does Lisa M Rullie, PMHNP practice?

The practice location is 11 Apex Dr Ste 300A, Marlborough, MA 01752-1977. The office can be reached at 508-919-6179 (phone) or 508-535-5114 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649523523 directly on the NPPES registry website.

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