Lisa A. Bowline, CASAC A

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

35025 Issued in NY

Practice address

133 N Lewis St
Auburn, NY 13021-2027

Phone

(315) 382-3334

Fax

(315) 382-3334

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa A. Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1033092614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564",
            "fax_number": "315-471-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N LEWIS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212027",
            "telephone_number": "315-382-3334",
            "fax_number": "315-382-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLINE",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "CASAC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35025",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "35025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PHILLIPS",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Bohall
• Damita Bonnemere
• Abigail Borkowski, PA-C
• Rose Marie Borza, LMT
• Nicole Bowker, MSW
• Patrick Joseph Boyea, OD
• Sean Patrick Boyle, M.D.
• Michael B Brady, DDS
• Dianna Marie Brann, RN
• Bethany Brantner

• Addiction (Substance Use Disorder) Psychologist in Auburn, NY
• Providers in Auburn, NY by specialty
• Addiction (Substance Use Disorder) Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.