Individual provider Active NPI

Lisa Ann Lavella, PSY.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1043342611
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4939 Issued in AZ
Practice address
20715 N Pima Rd Ste 108
Scottsdale, AZ 85255-6685
Phone
(480) 848-4411
Fax
(888) 778-3569
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 71007097 IL
Clinical Psychologist 103TC0700X 4939 AZ Primary

Addresses

Primary practice location

20715 N Pima Rd Ste 108
Scottsdale, AZ 85255-6685

Mailing address

20715 N Pima Rd Ste 108
Scottsdale, AZ 85255-6685
Phone (480) 848-4411

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
71007097ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower You Experts, PC Clinical PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1043342611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 N PIMA RD STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556685",
            "telephone_number": "480-848-4411",
            "fax_number": "888-778-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20715 N PIMA RD STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556685",
            "telephone_number": "480-848-4411",
            "fax_number": "888-778-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71007097",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.