Individual provider Active NPI

Lisa M Sromek, NCSP

  • School Psychologist
  • Neillsville, WI
National Provider Identifier
1023823895
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
7062 Issued in WI
Practice address
W5917 State Highway 95
Neillsville, WI 54456-6717
Phone
(262) 224-1430
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 210241743 CA
School Psychologist 103TS0200X 7062 WI Primary

Addresses

Primary practice location

W5917 State Highway 95
Neillsville, WI 54456-6717

Mailing address

W5917 State Highway 95
Neillsville, WI 54456-6717
Phone (262) 224-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210241743CAMDSchool Psychologist
7062WIMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1023823895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5917 STATE HIGHWAY 95",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544566717",
            "telephone_number": "262-224-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5917 STATE HIGHWAY 95",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544566717",
            "telephone_number": "262-224-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROMEK",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "210241743",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": "7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.